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Sandra J. Moore, NP
Family Nurse Practitioner in Pine City, Minnesota
NPI 1851510366

Sandra J. Moore is a Family Nurse Practitioner based in Pine City, MN and is specialized in Family. Sandra J. Moore practices in Pine City, MN and has the professional credentials of NP. The NPI Number for Sandra J. Moore is 1851510366 and holds a License No. 157868 (Minnesota).

The current practice location address for Sandra J. Moore is 1425 Main St N, Pine City, MN and can be reached out via phone at 320-629-7505 and via fax at 320-629-2202.

Location: 1425 Main St N, Pine City, MN, 55063-6026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851510366
Provider Name
Sandra J. Moore
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1425 Main St N, Pine City, MN, 55063-6026
Phone Number
320-629-7505
Fax Number
320-629-2202
Provider Enumeration Date
04/24/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1425 Main St N
City
Pine City
State
Minnesota
Zip
55063-6026
Phone Number
320-629-7505
Fax Number
320-629-2202
person
Provider Business Mailing Address Details
Address
1425 Main St N
City
Pine City
State
Minnesota
Zip
55063-6026
Phone Number
320-629-7505
Fax Number
320-629-2202
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
R 181983-4 (Minnesota)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
157868 (Wisconsin)
Definition
Definition to come...
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