person
Mrs. Melanie Dawn Moore, NP
Adult Health Nurse Practitioner in Louisville, Kentucky
NPI 1205187861

Melanie Dawn Moore is an Adult Health Nurse Practitioner based in Louisville, KY and is specialized in Adult Health. Melanie Dawn Moore practices in Louisville, KY and has the professional credentials of NP. The NPI Number for Melanie Dawn Moore is 1205187861 and holds a License No. 3007505 (Kentucky).

The current practice location address for Melanie Dawn Moore is 120 Executive Park, Louisville, KY and can be reached out via phone at 502-855-7200 and via fax at 502-855-7201.

Location: 120 Executive Park, Louisville, KY, 40207-4202
person
Provider Profile Details
NPI Number
1205187861
Provider Name
Melanie Dawn Moore
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
120 Executive Park, Louisville, KY, 40207-4202
Phone Number
502-855-7200
Fax Number
502-855-7201
Provider Enumeration Date
09/24/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300035632 05 IN
7100654320 05 KY
institution
Provider Business Practice Location Address Details
Address
120 Executive Park
City
State
Zip
40207-4201
Phone Number
502-855-7200
Fax Number
502-855-7201
person
Provider Business Mailing Address Details
Address
120 Executive Park
City
State
Zip
40207-4201
Phone Number
502-855-7200
Fax Number
502-855-7201
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
3007505 (Kentucky)
Definition
Definition to come...
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