Individual
MS. NANCY BEATRICE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
4600 MEMORIAL DR STE 240, BELLEVILLE, IL 62226-5363
(618) 234-2390
Mailing address
PO BOX 959203, SAINT LOUIS, MO 63195-9203
(618) 234-2390
(618) 234-9936
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
2015043771
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420030426
—
MO
Enumeration date
02/22/2016
Last updated
11/06/2025
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