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NPI Code Detail

MEDICARE: DAWN MOORE CNM

MEDICARE:   DAWN  MOORE  CNM
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
1367A00000XAdvanced Practice MidwifeLK0000192DE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10000OTHERNONE

General Provider Information

NPI Number : 1336654128
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWN MOORE CNM
Provider Business Mailing Address
First Line : 1207 DELAWARE AVE STE 1684
Second Line :
City : WILMINGTON
State : DE
Zip : 19806-4743
Country : US
Telephone Number : 302-220-3429
Fax Number :
Provider Business Practice Location Address
First Line : 620 CHURCHMANS RD
Second Line :
City : NEWARK
State : DE
Zip : 19702-1946
Country : US
Telephone Number : 302-658-2229
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2017
Last Update Date : 02/11/2026

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Directions to “ DAWN MOORE CNM” Practice Location

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