Individual
CHASSIE NICOLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3508 FAR WEST BLVD STE 130, AUSTIN, TX 78731-3081
(512) 828-3990
(512) 241-1277
Mailing address
3508 FAR WEST BLVD STE 130, AUSTIN, TX 78731-3081
(512) 828-3990
(512) 241-1277
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
GPRN243838
TX
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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