Individual
MRS. DEANDRA KAY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1325 QUINTARD AVE, ANNISTON, AL 36201
(256) 741-1339
(256) 741-1356
Mailing address
1325 QUINTARD AVE, ANNISTON, AL 36201
(256) 741-1339
(256) 741-1356
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-079581
AL
Other
Enumeration date
06/13/2012
Last updated
02/21/2020
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