Individual
JOAN M MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
305 ESTILL ST, CPO 2174, BEREA, KY 40403-1742
(859) 985-3212
(859) 985-3910
Mailing address
305 ESTILL STREET, CPO 2174, BEREA, KY 40403-0001
(859) 985-3212
(859) 985-3910
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3001353
KY
390200000X
Student in an Organized Health Care Education/Training Program
1353P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063917
RN LICENSE
KY
01
—
1353P
ARNP LICENSE
KY
Enumeration date
05/11/2007
Last updated
10/28/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us