Individual
KATHERINE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
891 W LOCUST ST, WILMINGTON, OH 45177
(937) 382-5030
Mailing address
891 W LOCUST ST, WILMINGTON, OH 45177-2118
(937) 382-5030
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.024784
OH
Other
Enumeration date
07/31/2019
Last updated
11/11/2019
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