Individual
MRS. RACHEL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1260 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4362
(860) 258-3477
(860) 571-6802
Mailing address
2110 SILAS DEANE HWY, ROCKY HILL, CT 06067-2313
(860) 258-3470
(860) 571-6800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
004185
CT
363LA2100X
Acute Care Nurse Practitioner
004185
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004185
LICENSE
CT
Enumeration date
07/22/2009
Last updated
03/04/2013
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