Individual
CULLEN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
401 ALLISTER DR UNIT 108, RALEIGH, NC 27609-7272
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
273120
NC
367500000X
Certified Registered Nurse Anesthetist
0024188309
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
006978
NC
Other
Enumeration date
03/08/2020
Last updated
12/14/2023
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