Individual
PRISCILA MOORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4510 NW 39TH ST, OKLAHOMA CITY, OK 73122-2503
(405) 495-5841
(405) 495-7825
Mailing address
16317 BRAVADO PL, EDMOND, OK 73013-2207
(405) 361-2250
(405) 495-7825
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
97357
OK
363LF0000X
Family Nurse Practitioner
000000
OK
363LF0000X
Family Nurse Practitioner
4704320224
MI
Other
Enumeration date
07/07/2014
Last updated
11/30/2021
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