Individual
ASHLEY L MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3000 MEDICAL CENTER PKWY, BENTONVILLE, AR 72712-3217
(479) 553-1000
Mailing address
PO BOX 583, LOWELL, AR 72745-0583
(888) 991-1101
(903) 787-5854
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
2017013795
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
123885
AR
367500000X
Certified Registered Nurse Anesthetist
2019025793
MO
Other
Enumeration date
06/07/2019
Last updated
10/30/2024
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