Individual
BUFFY RENEA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 RED MULBERRY WAY APT 4, CHARLESTON, WV 25306-6385
(304) 206-5791
Mailing address
125 RED MULBERRY WAY APT 4, CHARLESTON, WV 25306-6385
(304) 206-5791
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
69558
WV
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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