Individual
ELIZABETH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2805 MID CITIES DR STE 1, BENTONVILLE, AR 72712-4291
(479) 271-7634
(479) 271-7654
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
221593
AR
Other
Enumeration date
12/12/2023
Last updated
04/28/2026
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