Individual
MICHELLE-LEE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1500 SW 10TH AVE, TOPEKA, KS 66604-1301
(785) 354-5242
Mailing address
1500 SW 10TH AVE, TOPEKA, KS 66604-1301
(785) 354-5242
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-75678
KS
363LP0200X
Pediatric Nurse Practitioner
2012029472
MO
363LP0200X
Pediatric Nurse Practitioner
53-75678
KS
Other
Enumeration date
08/21/2012
Last updated
09/11/2025
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