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NPI Code Detail

MEDICARE: MRS. PATRICIA MARY MOORE FNP-C

MEDICARE:  MRS. PATRICIA MARY MOORE  FNP-C
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
1363LF0000XFamily Nurse PractitionerAP3737AZ

General Provider Information

NPI Number : 1932239688
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PATRICIA MARY MOORE FNP-C
Provider Business Mailing Address
First Line : 3785 W INA RD
Second Line :
City : TUCSON
State : AZ
Zip : 85741-2247
Country : US
Telephone Number : 866-389-2727
Fax Number :
Provider Business Practice Location Address
First Line : 3785 W INA RD
Second Line :
City : TUCSON
State : AZ
Zip : 85741-2247
Country : US
Telephone Number : 520-339-5807
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2007
Last Update Date : 07/08/2021

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Directions to “ MRS. PATRICIA MARY MOORE FNP-C” Practice Location

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