Individual
KRISTINE LEIGH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
36100 EUCLID AVE STE 420, WILLOUGHBY, OH 44094-4429
(440) 946-4662
Mailing address
5691 MEAD HOLLOW RD, WINDSOR, OH 44099-8700
(440) 563-6830
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG06180251
OH
Other
Enumeration date
03/03/2019
Last updated
03/03/2019
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