Individual
MS. BEVERLY MOORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1735 CITY CENTER BLVD, ELIZABETH CITY, NC 27909-8960
(252) 338-2155
(252) 338-7704
Mailing address
1735 CITY CENTER BLVD, ELIZABETH CITY, NC 27909-8960
(252) 338-2155
(252) 338-7704
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
228175
NC
363LF0000X
Family Nurse Practitioner
228175
NC
364SP0200X
Pediatric Clinical Nurse Specialist
228175
NC
Other
Enumeration date
10/31/2008
Last updated
07/17/2013
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