Individual
MRS. CARALYNN FAYE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
19 1ST ST NE, CHOTEAU, MT 59422-9275
(406) 466-5165
(406) 466-2536
Mailing address
19 1ST ST NE, CHOTEAU, MT 59422-9275
(406) 466-5165
(406) 466-2536
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN5925
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0437257
—
MT
Enumeration date
08/15/2005
Last updated
07/06/2010
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