Individual
DR. EVAN C MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
73 HAMMOND ST STE 9998, BANGOR, ME 04401-9998
(480) 235-9434
Mailing address
73 HAMMOND ST STE 9998, BANGOR, ME 04401-9998
(480) 235-9434
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP211261
ME
Other
Enumeration date
07/31/2020
Last updated
09/29/2023
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