Individual
HANNAH MARIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2132 E 3RD ST, DAYTON, OH 45403-1991
(937) 528-6850
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1305
(937) 522-7513
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.13721
OH
363LA2200X
Adult Health Nurse Practitioner
COA.13721-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072755
—
OH
Enumeration date
09/20/2012
Last updated
01/12/2021
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