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Individual

ASHLEY MARIE MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1700 SW 7TH ST, TOPEKA, KS 66606-2489
(785) 295-8359
Mailing address
2009 SW WILDWOOD LN, TOPEKA, KS 66611-1680
(785) 410-3427

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
63652
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
557106
KS

Other

Enumeration date
06/11/2012
Last updated
05/10/2017
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