Individual
ALYSSA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
VA BROCKTON, 940 BELMONT ST BLD, 4 BASEMENT GEC, BROCKTON, MA 02301
(774) 826-1842
Mailing address
VA BROCKTON, 940 BELMONT ST BLD, 4 BASEMENT GEC, BROCKTON, MA 02301
(774) 826-3875
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2340503
MA
363LF0000X
Family Nurse Practitioner
APRN002831
NV
Other
Enumeration date
06/05/2014
Last updated
09/29/2022
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