Individual
KATIE JO MOOREFIELD TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A-GNP
Contact information
Practice address
1511 WESTOVER TER, GREENSBORO, NC 27408-7128
(336) 373-0611
Mailing address
1511 WESTOVER TER, GREENSBORO, NC 27408-7128
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
TATE-ZG5Q3
NC
Other
Enumeration date
11/08/2021
Last updated
02/02/2024
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