Individual
MRS. KATHRYN ANNE STRADER MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, MSN, ANP, FNP
Contact information
Practice address
10 SUNNYBROOK RD, PUBLIC HEALTH CLINIC A, RALEIGH, NC 27610-1808
(919) 250-3078
Mailing address
10 SUNNYBROOK RD, PUBLIC HEALTH CLINIC A, RALEIGH, NC 27610-1808
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
161068
NC
363LA2200X
Adult Health Nurse Practitioner
0050-02522
NC
363LF0000X
Family Nurse Practitioner
Primary
0050-02522
NC
Other
Enumeration date
03/25/2008
Last updated
06/23/2021
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