Individual
CADEATRIZLIUS SHAWNQUITIA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
22136 MEDICAL VILLAGE DR, ATHENS, AL 35613-2940
(256) 648-5598
Mailing address
22136 MEDICAL VILLAGE DR, ATHENS, AL 35613-2940
(256) 648-5598
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-126814
AL
Other
Enumeration date
11/20/2019
Last updated
11/05/2024
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