Individual
MARGARET ASTOR MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
40 DUKE MEDICINE CIR, DURHAM, NC 27710-4000
(919) 684-8111
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
145965
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232009
MEDICARE GROUP PTAN
NC
Enumeration date
07/14/2008
Last updated
05/03/2012
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