Individual
TERRI L MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
101 DUDLEY ST, PROVIDENCE, RI 02905
(401) 273-0641
(401) 273-2919
Mailing address
455 TOLL GATE RD, PRC AND CREDENTIALING, WARWICK, RI 02886-2759
(401) 273-0641
(401) 273-2919
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
274756
MA
363LN0000X
Neonatal Nurse Practitioner
Primary
APRN00453
RI
Other
Enumeration date
11/14/2013
Last updated
06/17/2025
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