Individual
DANA MARIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1349 N MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63701-1727
(573) 334-9564
(573) 334-1879
Mailing address
2601 NORTH ST, SCOTT CITY, MO 63780-1227
(573) 576-7056
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2012022143
MO
Other
Enumeration date
08/16/2012
Last updated
03/12/2014
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