Individual
ELISSA ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RN, FNP-BC
Contact information
Practice address
94180 2ND ST, GOLD BEACH, OR 97444-8733
(541) 247-3940
Mailing address
94180 2ND ST, GOLD BEACH, OR 97444-8733
(541) 247-3940
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10053700
OR
Other
Enumeration date
11/26/2025
Last updated
11/26/2025
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