Individual
MS. SANDRA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, ARNP-BC
Contact information
Practice address
OF STATE 2401 E ST NW, M MED QI, SA 1, WASHINGTON, DC 20522-0001
(703) 875-4846
(703) 875-4853
Mailing address
OF STATE 2401 E ST NW, M MED QI, SA 1, WASHINGTON, DC 20522-0001
(703) 875-4846
(703) 875-4850
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000011105
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN0000011105
ADVANCED PRACTICE NURSE
TN
Enumeration date
12/08/2006
Last updated
07/08/2007
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