Individual
GRACE CATHERINE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-2000
Mailing address
3904 EDMUNDS ST NW APT 3, WASHINGTON, DC 20007-1293
(248) 840-6706
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001308109
VA
163W00000X
Registered Nurse
R247817
MD
163W00000X
Registered Nurse
RN1045327
DC
367500000X
Certified Registered Nurse Anesthetist
Primary
R247817
MD
Other
Enumeration date
06/12/2022
Last updated
06/25/2024
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