Individual
DAVID L MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
6823 SAINT CHARLES AVE BLDG 92, NEW ORLEANS, LA 70118-5665
(907) 713-7237
Mailing address
7616 FRERET ST, NEW ORLEANS, LA 70118-5010
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60627765
WA
363LF0000X
Family Nurse Practitioner
201906750-NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
227309
LA
363LF0000X
Family Nurse Practitioner
APN0000017603
TN
363LP2300X
Primary Care Nurse Practitioner
116687
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891133369
—
WA
01
—
227309
CAMPUS HEALTH
LA
01
—
P01607185
LNI WVH
WA
Enumeration date
06/06/2013
Last updated
11/07/2022
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