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NPI Code Detail

MEDICARE: MRS. BRITT E MOORE REGISTERED NURSE

MEDICARE: MRS. BRITT E MOORE REGISTERED NURSE
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
1163WS0200XSchool Registered Nurse655505NY

General Provider Information

NPI Number : 1215397229
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRITT E MOORE REGISTERED NURSE
Provider Business Mailing Address
First Line : 92 WHITEHALL RD
Second Line :
City : ALBANY
State : NY
Zip : 12209-1425
Country : US
Telephone Number : 518-312-0430
Fax Number :
Provider Business Practice Location Address
First Line : 349 OSBORNE RD
Second Line :
City : ALBANY
State : NY
Zip : 12211-1652
Country : US
Telephone Number : 518-434-1960
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2016
Last Update Date : 03/03/2016

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Directions to “ MRS. BRITT E MOORE REGISTERED NURSE” Practice Location

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