Individual
PAMELA LYNN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN FNP
Contact information
Practice address
7600 N 15TH STREET, #130, PHOENIX, AZ 85020-4347
(602) 861-1611
(602) 371-8929
Mailing address
7600 N 15TH STREET, #130, PHOENIX, AZ 85020-4347
(602) 861-1611
(602) 371-8929
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
648850
—
AZ
Enumeration date
08/14/2006
Last updated
07/08/2007
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