Individual
DEANNA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
PO BOX 211699, EAGAN, MN 55121-3699
(866) 849-0692
(888) 973-8821
Mailing address
PO BOX 211699, EAGAN, MN 55121-3699
(866) 849-0692
(888) 973-8821
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024193943
VA
363LF0000X
Family Nurse Practitioner
Primary
F03190439
NC
Other
Enumeration date
07/25/2019
Last updated
04/22/2026
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