Individual
MR. ZACHARY ANDREW-VERNON MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
7139 N SPRINGBORO PIKE, WEST CARROLLTON, OH 45449-3605
(937) 844-7362
Mailing address
7139 N SPRINGBORO PIKE, WEST CARROLLTON, OH 45449-3605
(937) 844-7362
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN.488740
OH
164W00000X
Licensed Practical Nurse
LPN.163919.MEDS-IV
OH
Other
Enumeration date
10/29/2019
Last updated
04/04/2021
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