Individual
SHELLEY MARIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3368 HIGHWAY 280, SUITE 107, ALEXANDER CITY, AL 35010-3393
(256) 212-9300
(256) 212-9363
Mailing address
1506 FIREHOUSE RD, GOODWATER, AL 35072-5733
(256) 839-6087
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-074273
AL
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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