Individual
NICOLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3100 S AVENUE A, YUMA, AZ 85364-7997
(928) 502-5509
Mailing address
3100 S AVENUE A, YUMA, AZ 85364-7997
(928) 502-5509
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN173109
AZ
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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