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John Michael Moore, NP-C
Family Nurse Practitioner in Sandy, Utah
NPI 1902154172

John Michael Moore is a Family Nurse Practitioner based in Las Vegas, UT and is specialized in Family. John Michael Moore practices in Sandy, UT and has the professional credentials of NP-C. The NPI Number for John Michael Moore is 1902154172 and holds a License No. 8205692-4405 (Utah).

The current practice location address for John Michael Moore is 1403 E Sego Lily Dr Ste 100, Sandy, UT and can be reached out via phone at 801-265-2212.

Location: 1403 E Sego Lily Dr Ste 100, Sandy, UT, 89133-5380
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902154172
Provider Name
John Michael Moore
Credential
NP-C
Provider Entity Type
Individual
Gender
Male
Address
1403 E Sego Lily Dr Ste 100, Sandy, UT, 89133-5380
Phone Number
801-265-2212
Fax Number
Provider Enumeration Date
08/20/2012
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
1403 E Sego Lily Dr Ste 100
City
Sandy
State
Utah
Zip
84092-4350
Phone Number
801-265-2212
Fax Number
person
Provider Business Mailing Address Details
Address
1403 E Sego Lily Dr Ste 100
City
Sandy
State
Utah
Zip
84092-4350
Phone Number
801-265-2212
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
8205692-4405 (Utah)
Definition
Definition to come...
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