Candace Moore, NP

NPI #1285962605 in Mequon, Wisconsin

Provider Information

NPI Number: 1285962605
Entity Type: Individual
Name: Candace Moore, NP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: NP
Enumeration Date: Nov 23, 2009
Last Updated: Feb 25, 2013

Practice Location

Address: 13133 N PORT WASHINGTON RD
Address 2: SUITE G-18
City: Mequon
State: Wisconsin
ZIP Code: 53097-2419
Phone: (262) 243-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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