Individual
DORENE L MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
320 S MARKET ST, HEARTLAND CARE PARTNERS, ELIZABETHTOWN, PA 17022-2422
(800) 427-1902
(419) 531-2664
Mailing address
333 N SUMMIT ST FL 7, HCR MANORCARE MEDICAL SERVICES / HEARTLAND CARE PARTNER, TOLEDO, OH 43604-2615
(800) 427-1902
(419) 531-2664
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP017095
PA
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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