Individual
MRS. TAMMIE LYNN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15 EASTWIND CT, NEWARK, DE 19713-2825
(302) 593-4595
Mailing address
15 EASTWIND CT, NEWARK, DE 19713-2825
(302) 593-4595
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
LG-0000613
DE
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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