Organization
FAR MORE APRN-CNP,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE M MOORE APRN-CNP (NURSE PRACTITIONER)
(405) 341-4643
Entity
Organization
Contact information
Practice address
1101 N BRYANT AVE, EDMOND, OK 73034-3251
(405) 341-4643
(405) 341-6383
Mailing address
1101 N BRYANT AVE, EDMOND, OK 73034-3251
(405) 341-4643
(405) 341-6383
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
2013042559
MO
261QH0100X
Health Service Clinic/Center
Primary
R0053173
OK
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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