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Tracey D. Moore, NP
Family Nurse Practitioner in Cheyenne, Wyoming
NPI 1720188022

Tracey D. Moore is a Family Nurse Practitioner based in Littleton, WY and is specialized in Family. Tracey D. Moore practices in Cheyenne, WY and has the professional credentials of NP. The NPI Number for Tracey D. Moore is 1720188022 and holds a License No. 175880851 (Wyoming).

The current practice location address for Tracey D. Moore is 214 E 23Rd St, Cheyenne, WY and can be reached out via phone at 307-634-2273 and via fax at 307-633-7671.

Location: 214 E 23Rd St, Cheyenne, WY, 80120-5685
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Provider Profile Details
NPI Number
1720188022
Provider Name
Tracey D. Moore
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
214 E 23Rd St, Cheyenne, WY, 80120-5685
Phone Number
307-634-2273
Fax Number
307-633-7671
Provider Enumeration Date
09/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
123828100 05 WY
35177837 05 CO
314502 01 WY BCBS
institution
Provider Business Practice Location Address Details
Address
214 E 23Rd St
City
State
Zip
82001-3748
Phone Number
307-634-2273
Fax Number
307-633-7671
person
Provider Business Mailing Address Details
Address
214 E 23Rd St
City
State
Zip
82001-3748
Phone Number
307-634-2273
Fax Number
307-633-7671
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
175880851 (Wyoming)
Definition
Definition to come...
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