Individual
NICOLE KAY MOORE
Active
Individual
NICOLE KAY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R224991
MD
390200000X
Student in an Organized Health Care Education/Training Program
RN.331366
OH
Other
Enumeration date
07/05/2016
Last updated
02/08/2019
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