Individual
PATRICIA A. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
19 STURDY ST, ATTLEBORO, MA 02703-3152
(508) 236-8384
(508) 236-8377
Mailing address
19 STURDY ST, ATTLEBORO, MA 02703-3152
(508) 236-8384
(508) 236-8377
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
135064
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
411500
RIBCHIP
—
01
—
51997
FALLON
—
01
—
NP2359
MABC
MA
Enumeration date
07/26/2006
Last updated
07/08/2007
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