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NPI Code Detail

MEDICARE: ALEXANDRA MOORE

MEDICARE: ALEXANDRA MOORE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner276350AZ

General Provider Information

NPI Number : 1851022198
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA MOORE
Provider Business Mailing Address
First Line : 2325 E CAMELBACK RD STE 400
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-3514
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2325 E CAMELBACK RD STE 400
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-3514
Country : US
Telephone Number : 602-805-8200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2022
Last Update Date : 01/04/2025

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Directions to “ ALEXANDRA MOORE ” Practice Location

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