Individual
DIAMOND NICOLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA, APRN
Contact information
Practice address
8356 BAYWOOD VISTA DR, ORLANDO, FL 32810-6625
(352) 598-7293
Mailing address
8356 BAYWOOD VISTA DR, ORLANDO, FL 32810-6625
(352) 598-7293
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9405169
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11019593
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2020
Last updated
03/26/2024
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