Individual
HEATHER LYN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9000 FRANKLIN SQUARE DR, ANESTHESIA DEPARTMENT, BALTIMORE, MD 21237-3901
(443) 777-7179
Mailing address
9000 FRANKLIN SQUARE DR, ANESTHESIA DEPARTMENT, BALTIMORE, MD 21237-3901
(443) 777-7179
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R129274
MD
Other
Enumeration date
12/05/2005
Last updated
10/22/2007
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