Individual
MARYBETH RIZZO MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
870 E BALTIMORE PIKE, 1074, KENNETT SQUARE, PA 19348-1842
(866) 389-2727
Mailing address
870 E BALTIMORE PIKE, KENNETT SQUARE, PA 19348-1842
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN332698L
PA
363LF0000X
Family Nurse Practitioner
LG-0001408
DE
363LF0000X
Family Nurse Practitioner
Primary
SP012712
PA
Other
Enumeration date
05/08/2008
Last updated
06/11/2024
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