person
Michelle Moore
Primary Care Nurse Practitioner in New York, New York
NPI 1043769268

Michelle Moore is a Primary Care Nurse Practitioner based in New York, NY and is specialized in Primary Care. Michelle Moore practices in New York, NY. The NPI Number for Michelle Moore is 1043769268 and holds a License No. 209.014876 (New York).

The current practice location address for Michelle Moore is 632 Broadway Ph 12, New York, NY and can be reached out via phone at 347-294-3414 and via fax at 205-332-1383.

Location: 632 Broadway Ph 12, New York, NY, 10012-2614
person
Provider Profile Details
NPI Number
1043769268
Provider Name
Michelle Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
632 Broadway Ph 12, New York, NY, 10012-2614
Phone Number
347-294-3414
Fax Number
205-332-1383
Provider Enumeration Date
09/29/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
632 Broadway Ph 12
City
State
Zip
10012-2614
Phone Number
347-294-3414
Fax Number
205-332-1383
person
Provider Business Mailing Address Details
Address
632 Broadway Ph 12
City
State
Zip
10012-2614
Phone Number
347-294-3414
Fax Number
205-332-1383
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
209.014876 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
209.014876 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
209.014876 (Illinois)
Definition
Definition to come...
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