Individual
MS. MICHAELENE ANN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, ANP-C, CNS-C
Contact information
Practice address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-2840
Mailing address
158 BIG OAK TRL, BROWNS SUMMIT, NC 27214-9562
(919) 360-6100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
215730
NC
364SA2200X
Adult Health Clinical Nurse Specialist
215730
NC
Other
Enumeration date
04/07/2007
Last updated
04/30/2013
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