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Individual

ELIZABETH A. MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP, MSN

Contact information

Practice address
821 ANOLA ST, SUITE C, DOVER, OH 44622-2075
(330) 343-7581
(330) 343-1456
Mailing address
323 MARION AVE NW, SUITE 200, MASSILLON, OH 44646-3639
(330) 837-1111
(330) 837-1769

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN277214
OH

Other

Enumeration date
11/21/2006
Last updated
07/02/2010
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