Individual
WENDY RICHARDSON MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDE
Contact information
Practice address
901 N WINSTEAD AVE, ROCKY MOUNT, NC 27804-8467
(252) 937-0215
(252) 937-2903
Mailing address
PO BOX 7200, ROCKY MOUNT, NC 27804-0200
(252) 937-0215
(252) 937-2903
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
21410496
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21410496
CERTIFIED DIABETES EDUCATOR
NC
01
—
222786
RN
NC
Enumeration date
05/13/2019
Last updated
05/13/2019
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