person
Clista A. Moore, CNP
Family Nurse Practitioner in Englewood, Ohio
NPI 1467811695

Clista A. Moore is a Family Nurse Practitioner based in Washington Court House, OH and is specialized in Family. Clista A. Moore practices in Englewood, OH and has the professional credentials of CNP. The NPI Number for Clista A. Moore is 1467811695 and holds a License No. APRN.CNP.18805 (Ohio).

The current practice location address for Clista A. Moore is 885 Union Blvd, Englewood, OH and can be reached out via phone at 937-832-4091.

Location: 885 Union Blvd, Englewood, OH, 43160-3701
person
Provider Profile Details
NPI Number
1467811695
Provider Name
Clista A. Moore
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
885 Union Blvd, Englewood, OH, 43160-3701
Phone Number
937-832-4091
Fax Number
Provider Enumeration Date
02/16/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0158584 05 OH
institution
Provider Business Practice Location Address Details
Address
885 Union Blvd
City
State
Zip
45322-2102
Phone Number
937-832-4091
Fax Number
person
Provider Business Mailing Address Details
Address
885 Union Blvd
City
State
Zip
45322-2102
Phone Number
937-832-4091
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
APRN.CNP.18805 (Ohio)
Definition
Definition to come...
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