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Kelly Marie Moore, FNP-BC
Family Nurse Practitioner in Riverside, California
NPI 1649049305

Kelly Marie Moore is a Family Nurse Practitioner based in Riverside, CA and is specialized in Family. Kelly Marie Moore practices in Riverside, CA and has the professional credentials of FNP-BC. The NPI Number for Kelly Marie Moore is 1649049305 and holds a License No. 95028281 (California).

The current practice location address for Kelly Marie Moore is 11542 Cornell Ave, Riverside, CA and can be reached out via phone at 951-990-2381.

Location: 11542 Cornell Ave, Riverside, CA, 92507-6613
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649049305
Provider Name
Kelly Marie Moore
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
11542 Cornell Ave, Riverside, CA, 92507-6613
Phone Number
951-990-2381
Fax Number
Provider Enumeration Date
12/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11542 Cornell Ave
City
Riverside
State
California
Zip
92507-6613
Phone Number
951-990-2381
Fax Number
person
Provider Business Mailing Address Details
Address
11542 Cornell Ave
City
Riverside
State
California
Zip
92507-6613
Phone Number
951-990-2381
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95028281 (California)
Definition
Definition to come...
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