person
Pamela M Moore, NP
Adult Health Nurse Practitioner in Urbana, Illinois
NPI 1881701308

Pamela M Moore is an Adult Health Nurse Practitioner based in Urbana, IL and is specialized in Adult Health. Pamela M Moore practices in Urbana, IL and has the professional credentials of NP. The NPI Number for Pamela M Moore is 1881701308 and holds a License No. RN81005 (Illinois).

The current practice location address for Pamela M Moore is 611 W. Park St., Urbana, IL and can be reached out via phone at 217-904-7000 and via fax at 217-904-7742. You can also correspond with Pamela M Moore through the mailing address at 611 W. PARK ST., URBANA, IL - 61801-2500 (mailing address contact number: 217-383-6792).

Location: 611 W. Park St., Urbana, IL, 61801-2500
person
Provider Profile Details
NPI Number
1881701308
Provider Name
Pamela M Moore
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
611 W. Park St., Urbana, IL, 61801-2500
Phone Number
217-904-7000
Fax Number
217-904-7742
Provider Enumeration Date
08/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103086 01 MC COCHISE
300051634 01 MARICOPA FOUND
448664 01 MERCY CARE
103087 01 AZ RR MC PIN
103087 01 MC PIMA
1Z1408 01 INTERGROUP HEALTHNET
300051634 01 HUMANA
448664 01 AHCCCS
AZ0819900 01 AZ BCBS
300051634 01 AZ HEALTH PLAN AHP
300051634 01 CIGNA
102542 01 AZ RR MC GRP
103086 01 AZ RR MC PIN
500005593 01 TRAVELERS MC
300051634 01 AETNA
448664 01 INDIAN HEALTH
448664 05 AZ
institution
Provider Business Practice Location Address Details
Address
611 W. Park St.
City
State
Zip
61801-2500
Phone Number
217-904-7000
Fax Number
217-904-7742
person
Provider Business Mailing Address Details
Address
611 W. Park St.
City
State
Zip
61801-2500
Phone Number
217-383-6792
Fax Number
217-383-4752
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
209-006880 (Illinois)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
RN81005 (Arizona)
Definition
Definition to come...
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