Individual
KAREN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26908 DETROIT RD, SUITE 301, WESTLAKE, OH 44145-2398
(440) 617-1823
(440) 617-0884
Mailing address
2535 HALE ST, SUITE A, AVON, OH 44011-1856
(440) 934-8810
(440) 934-8811
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
16056-NP
OH
363LG0600X
Gerontology Nurse Practitioner
16056-NP
OH
Other
Enumeration date
08/05/2014
Last updated
11/13/2020
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