person
Tina Moore, NP
Family Nurse Practitioner in Liberty, Missouri
NPI 1033531181

Tina Moore is a Family Nurse Practitioner based in Lawson, MO and is specialized in Family. Tina Moore practices in Liberty, MO and has the professional credentials of NP. The NPI Number for Tina Moore is 1033531181 and holds a License No. 2014000703 (Missouri).

The current practice location address for Tina Moore is 1860 N Church Rd, Liberty, MO and can be reached out via phone at 816-415-2828.

Location: 1860 N Church Rd, Liberty, MO, 64062-7212
person
Provider Profile Details
NPI Number
1033531181
Provider Name
Tina Moore
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1860 N Church Rd, Liberty, MO, 64062-7212
Phone Number
816-415-2828
Fax Number
Provider Enumeration Date
01/08/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2014000703 01 MO LICENSE
1033531181 05 MO
institution
Provider Business Practice Location Address Details
Address
1860 N Church Rd
City
State
Zip
64068
Phone Number
816-415-2828
Fax Number
person
Provider Business Mailing Address Details
Address
1860 N Church Rd
City
State
Zip
64068
Phone Number
816-415-2828
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2014000703 (Missouri)
Definition
Definition to come...
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