Individual
COURTNEY JEAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNM
Contact information
Practice address
2635 UNIVERSITY AVE W, SAINT PAUL, MN 55114-1270
(651) 254-3500
Mailing address
2606 CHICAGO AVE, MINNEAPOLIS, MN 55407-3706
(612) 545-5311
(612) 224-9622
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
CNM 0268
MN
Other
Enumeration date
06/15/2015
Last updated
11/09/2020
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