Healthcare Provider Details

I. General information

NPI: 1982870200
Provider Name (Legal Business Name): RINDA SIMPSON MOORE NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2008
Last Update Date: 12/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3945 E PARADISE FALLS DRIVE SUITE 201
TUCSON AZ
85712-6687
US

IV. Provider business mailing address

3945 E PARADISE FALLS DRIVE SUITE 201
TUCSON AZ
85712-6687
US

V. Phone/Fax

Practice location:
  • Phone: 520-615-6200
  • Fax: 520-615-6255
Mailing address:
  • Phone: 520-615-6200
  • Fax: 520-615-6255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License NumberRN112897
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAP4068
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: