Theresa A Moore, N.P.

NPI #1982687158 in Syracuse, New York

Provider Information

NPI Number
1982687158
Entity Type
Individual
Name
Theresa A Moore, N.P.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
N.P.
Enumeration Date
Nov 22, 2005
Last Updated
Jun 18, 2012

Practice Location

Address
739 IRVING AVE
Address 2
SUITE 600
ZIP Code
13210-1651
Phone
(315) 471-0190

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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