Individual
KATHARINE JEANNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
8100 CONSTITUTION PL NE STE 400, ALBUQUERQUE, NM 87110-7644
(505) 559-6024
Mailing address
12421 TOWNER AVE NE, ALBUQUERQUE, NM 87112-3659
(603) 620-0008
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
57350
NM
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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