Individual
KATHERINE ELIZABETH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(984) 974-3802
Mailing address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5015562
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5015562
NC BON
NC
Enumeration date
01/02/2022
Last updated
03/15/2023
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