Organization
MOORE FAMILY MEDICINE ASSOCIATES APRN-CNP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA CARTER ARNP (OWNER)
(405) 799-7400
Entity
Organization
Contact information
Practice address
1400 SE 4TH ST, STE D, MOORE, OK 73160-7329
(405) 799-7400
Mailing address
1400 SE 4TH ST, STE D, MOORE, OK 73160-7329
(405) 799-7400
(405) 799-7405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200551510A
—
OK
Enumeration date
05/19/2014
Last updated
02/26/2015
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