Individual
MRS. CHERYL STEWART MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
612 MOCKSVILLE AVE, SALISBURY, NC 28144-2732
(704) 210-5661
Mailing address
265 N 3RD ST, ALBEMARLE, NC 28001-4011
(704) 985-0144
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
45272
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050664
—
NC
01
—
P00117358
RR MEDICARE
NC
Enumeration date
07/07/2006
Last updated
11/05/2024
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