Individual
CANDIE J ROSS-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
123 HENDERSONVILLE RD, ASHEVILLE, NC 28803-2868
(828) 257-4730
Mailing address
123 HENDERSONVILLE RD, ASHEVILLE, NC 28803-2868
(828) 257-4730
(828) 257-4738
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
088713
MO
363LG0600X
Gerontology Nurse Practitioner
Primary
5009670
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760488076
—
NC
05
—
428628812
—
MO
Enumeration date
06/22/2005
Last updated
05/04/2018
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