Individual
GALE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
R525294
MS
367A00000X
Advanced Practice Midwife
Primary
R525294
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00111153
—
MS
Enumeration date
10/17/2006
Last updated
01/04/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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