Individual
ANDREA MARIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2600 KINGS HWY, SUITE 340, SHREVEPORT, LA 71103-3950
(318) 212-8620
(318) 212-8625
Mailing address
2600 KINGS HWY, SUITE 340, SHREVEPORT, LA 71103-3950
(318) 212-8620
(318) 212-8625
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
APRN047672
LA
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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