Individual
MRS. EILEEN M. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
108 NEW LONDON TPKE, NORWICH, CT 06360-2645
(860) 889-3052
(860) 889-0926
Mailing address
108 NEW LONDON TPKE, NORWICH, CT 06360-2645
(860) 889-3052
(860) 889-0926
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
001598
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001598
APRN LICENSE NUMBER
CT
05
—
004183365
—
CT
Enumeration date
01/29/2007
Last updated
03/19/2016
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