Tia Moore

NPI #1033083753 in Columbus, Ohio

Provider Information

NPI Number
1033083753
Entity Type
Individual
Name
Tia Moore
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Enumeration Date
Oct 4, 2025
Last Updated
Oct 4, 2025

Practice Location

Address
6100 E MAIN ST STE 110
State
Ohio
ZIP Code
43213-3399
Phone
(614) 861-1120

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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