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Individual

ASHLEY MICHELLE MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, FNP-C

Contact information

Practice address
129 ONEIDA VALLEY RD STE 211, BUTLER, PA 16001-2252
(844) 765-2845
Mailing address
129 ONEIDA VALLEY RD STE 211, BUTLER, PA 16001-2252

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.352562
OH
163W00000X
Registered Nurse
RN609019
PA
363LF0000X
Family Nurse Practitioner
Primary
SP023894
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN.352562
OHIO RN LICENSE
OH
01
RN609019
PENNSYLVANIA RN LICENSE
PA
Enumeration date
04/20/2021
Last updated
06/23/2021
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