Individual
EMILY DAWN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1215 7TH ST SE, DECATUR, AL 35601-3304
(256) 973-4885
(256) 973-4805
Mailing address
1401 BYRD RD SE, HARTSELLE, AL 35640-5940
(256) 566-4097
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-123706
AL
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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