Individual
CAROLINE T. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1000 E BROAD ST, COLUMBUS, OH 43205-1333
(614) 252-3636
(614) 251-4061
Mailing address
1000 E BROAD ST, COLUMBUS, OH 43205-1333
(614) 252-3636
(614) 251-4061
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
APRN.CNP.003806
OH
363LF0000X
Family Nurse Practitioner
APRN.CNP.003806
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0071090
—
OH
Enumeration date
08/23/2024
Last updated
04/16/2025
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