Individual
MISTI DAWN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
207 S MAIN ST, TROY, KS 66087-4017
(785) 985-2211
(785) 985-2444
Mailing address
5301 FARAON ST STE 120, SAINT JOSEPH, MO 64506-3512
(816) 271-1066
(816) 271-6786
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2018015530
MO
363LF0000X
Family Nurse Practitioner
Primary
78441
KS
Other
Enumeration date
05/16/2018
Last updated
04/12/2022
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