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Daniel Lewis Moore
Family Nurse Practitioner in Vineyard, Utah
NPI 1912519117

Daniel Lewis Moore is a Family Nurse Practitioner based in Saint George, UT and is specialized in Family. Daniel Lewis Moore practices in Vineyard, UT. The NPI Number for Daniel Lewis Moore is 1912519117 and holds a License No. 8620638-4405 (Utah).

The current practice location address for Daniel Lewis Moore is 691 E 400 N, Ste. 110, Vineyard, UT and can be reached out via phone at 385-203-0246 and via fax at 385-203-0245.

Location: 691 E 400 N, Ste. 110, Vineyard, UT, 84791-2042
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912519117
Provider Name
Daniel Lewis Moore
Credential
Provider Entity Type
Individual
Gender
Male
Address
691 E 400 N, Ste. 110, Vineyard, UT, 84791-2042
Phone Number
385-203-0246
Fax Number
385-203-0245
Provider Enumeration Date
08/19/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
691 E 400 N, Ste. 110
City
Vineyard
State
Utah
Zip
84058-8405
Phone Number
385-203-0246
Fax Number
385-203-0245
person
Provider Business Mailing Address Details
Address
691 E 400 N, Ste. 110
City
Vineyard
State
Utah
Zip
84058-8405
Phone Number
385-203-0246
Fax Number
385-203-0245
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
8620638-4405 (Utah)
Definition
Definition to come...
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