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Individual

JOSHUA WAYNE MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN-CNP

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
115034
NE
363LF0000X
Family Nurse Practitioner
Primary
122653
AR
363LF0000X
Family Nurse Practitioner
2020021031
MO
363LF0000X
Family Nurse Practitioner
53075
WY
363LF0000X
Family Nurse Practitioner
C-APN.0101204-C-NP
CO

Other

Enumeration date
04/06/2020
Last updated
02/06/2025
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