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Melissa A Moore, CRNP
Family Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1598053480

Melissa A Moore is a Family Nurse Practitioner based in Philadelphia, PA and is specialized in Family. Melissa A Moore practices in Philadelphia, PA and has the professional credentials of CRNP. The NPI Number for Melissa A Moore is 1598053480 and holds a License No. SP011451 (Pennsylvania).

The current practice location address for Melissa A Moore is 3400 Civic Center Blvd, Philadelphia, PA and can be reached out via phone at 215-662-3318.

Location: 3400 Civic Center Blvd, Philadelphia, PA, 19104-5127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598053480
Provider Name
Melissa A Moore
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
3400 Civic Center Blvd, Philadelphia, PA, 19104-5127
Phone Number
215-662-3318
Fax Number
Provider Enumeration Date
07/13/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3400 Civic Center Blvd
City
Philadelphia
State
Pennsylvania
Zip
19104-5127
Phone Number
215-662-3318
Fax Number
person
Provider Business Mailing Address Details
Address
3400 Civic Center Blvd
City
Philadelphia
State
Pennsylvania
Zip
19104-5127
Phone Number
215-662-3318
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
SP011451 (Pennsylvania)
Definition
Definition to come...
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