Nicol Moore
NPI #1013707413 in Springfield, Illinois
Provider Information
- NPI Number
- 1013707413
- Entity Type
- Individual
- Name
- Nicol Moore
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Community Health Worker
- Enumeration Date
- May 8, 2025
- Last Updated
- May 8, 2025
Practice Location
- Address
- 401 N WALNUT ST
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62702-5033
- Phone
- (217) 801-7295
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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