Individual
KATERINA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.-C
Contact information
Practice address
3535 W SOUTHERN AVE, SUITE 128, PHOENIX, AZ 85041-4224
(602) 276-5563
(602) 276-5536
Mailing address
11001 N BLACK CANYON HWY, PHOENIX, AZ 85029-4757
(602) 942-4462
(602) 371-2002
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN118161
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP4070
AZ
Other
Enumeration date
06/01/2011
Last updated
06/03/2011
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