Individual
REBECCA NICHOLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
9320 S MINGO RD, TULSA, OK 74133-5710
(918) 879-1700
(918) 879-1701
Mailing address
9320 S MINGO RD, TULSA, OK 74133-5710
(918) 879-1700
(918) 879-1701
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
92306
OK
Other
Enumeration date
07/22/2013
Last updated
03/07/2016
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