Individual
COURTNEY D MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
676 S FLOYD ST STE 200, LOUISVILLE, KY 40202-1840
(502) 629-4440
(502) 629-4445
Mailing address
PO BOX 776347, CHICAGO, IL 60677-6347
(502) 272-5052
(502) 629-6217
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3014882
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3014882
LICENSE
KY
05
—
7100748690
—
KY
01
—
71011795A
LICENSE
IN
Enumeration date
09/23/2020
Last updated
01/10/2025
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