Individual
MEGAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
800 SPRUCE STREET, PHILADELPHIA, PA 19107-6130
(267) 322-7700
(267) 322-7705
Mailing address
804 SCOTT NIXON MEMORIAL DRIVE, AUGUSTA, GA 30907-2464
(800) 394-4445
(706) 650-1034
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN506685L
PA
Other
Enumeration date
07/17/2006
Last updated
01/25/2017
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