Individual
ELIZABETH M MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
332 N HENRY ST, WILLIAMSBURG, VA 23185-4117
(757) 220-1246
(757) 220-0835
Mailing address
PO BOX 780125, PHILADELPHIA, PA 19178-0125
(804) 922-4844
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024181056
VA
363LF0000X
Family Nurse Practitioner
AP142597
TX
Other
Enumeration date
11/19/2019
Last updated
09/21/2023
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