Individual
BRANDIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
886 HIGHWAY 411 N, ETOWAH, TN 37331-1912
(423) 263-3680
Mailing address
886 HIGHWAY 411 N, ETOWAH, TN 37331-1912
(423) 263-3680
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
27952
TN
363L00000X
Nurse Practitioner
27952
TN
363LF0000X
Family Nurse Practitioner
Primary
27952
TN
Other
Enumeration date
09/01/2020
Last updated
12/06/2023
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