Individual
NICOLE E. MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
424 MULBERRY ST, MILTON, DE 19968-1628
(302) 684-0561
Mailing address
424 MULBERRY ST, MILTON, DE 19968-1628
(302) 684-0561
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0048126
DE
207Q00000X
Family Medicine Physician
Primary
LG-0011888
DE
Other
Enumeration date
01/19/2022
Last updated
02/07/2022
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