Individual
ELIZABETH MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1000
Mailing address
2108 E THOMAS RD, PHOENIX, AZ 85016-7761
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN193686
AZ
363LP0200X
Pediatric Nurse Practitioner
Primary
340782
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN193586
—
AZ
Enumeration date
08/23/2022
Last updated
06/16/2026
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