Individual
MRS. HEIDI MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1033 ASHLAND RD STE 205, MANSFIELD, OH 44905-2156
(567) 345-3030
(567) 345-3031
Mailing address
1033 ASHLAND RD STE 205, MANSFIELD, OH 44905-2156
(567) 345-3030
(567) 345-3031
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.025450
OH
Other
Enumeration date
08/15/2019
Last updated
11/11/2020
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