Individual
MISS AMY ELIZABETH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, AGACNP-BC
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-4000
Mailing address
600 S 24TH ST UNIT 206, PHILADELPHIA, PA 19146-1061
(856) 905-0604
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP028821
PA
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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