Individual
MYRA COLLEEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-C
Contact information
Practice address
1710 HARRISON ST, BATESVILLE, AR 72501-7303
(870) 262-1338
Mailing address
1710 HARRISON ST, BATESVILLE, AR 72501-7303
(870) 262-1338
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A004775
AR
363L00000X
Nurse Practitioner
Primary
A183732
IA
363LF0000X
Family Nurse Practitioner
1202827
TX
Other
Enumeration date
05/25/2016
Last updated
08/12/2025
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