Individual
MS. HEATHER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN169917 CNM
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CNM0204
CNM LICENSE
GA
Enumeration date
11/18/2010
Last updated
06/23/2015
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