Individual
SIOBHAN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
12675 NW 14TH ST, SUNRISE, FL 33323-5112
(954) 668-9860
Mailing address
12675 NW 14TH ST, SUNRISE, FL 33323-5112
(954) 668-9860
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11017885
FL
Other
Enumeration date
02/10/2022
Last updated
04/14/2026
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