Individual
BERNADETTE M MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3326
(215) 707-8028
Mailing address
610 W GERMANTOWN PIKE STE 150, PLYMOUTH MEETING, PA 19462-1062
(610) 525-4966
(610) 525-0874
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
259187
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN259187L
PA
Other
Enumeration date
06/05/2006
Last updated
07/14/2022
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