Individual
JUDY ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MS
Contact information
Practice address
117 N MAIN ST, SAND SPRINGS, OK 74063-7602
(918) 245-5565
Mailing address
13484 W OVERLOOK DR, SAND SPRINGS, OK 74063-8282
(918) 289-4750
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R44657
OK
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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