Individual
MS. MICHELE FRANCES MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-NNP
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
76585
KS
363LN0000X
Neonatal Nurse Practitioner
Primary
2014033135
MO
363LN0005X
Critical Care Neonatal Nurse Practitioner
111097
NE
Other
Enumeration date
11/09/2010
Last updated
10/21/2016
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