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Individual

AUDREY LYNN MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
232 MITCHELL ST, MILLSBORO, DE 19966-9412
(302) 934-5830
(302) 934-5835
Mailing address
232 MITCHELL ST, MILLSBORO, DE 19966-9412
(302) 934-5830
(302) 934-5835

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
L1-0039543
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
HOME HEALTH PROVIDER
Enumeration date
12/11/2017
Last updated
12/11/2017
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