Individual
ANGELA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, BSN
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-4300
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4752823-4405
UT
363LN0000X
Neonatal Nurse Practitioner
4752823-4405
UT
Other
Enumeration date
09/16/2024
Last updated
11/25/2025
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