Individual
DARLA R MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
204 S BELLEVUE AVE, DOVER, OH 44622-9405
(330) 365-1781
Mailing address
204 S BELLEVUE AVE, DOVER, OH 44622-9405
(330) 365-1781
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.025523
OH
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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