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NPI Code Detail

MEDICARE: ALISHA MOORE P.A.

MEDICARE: ALISHA MOORE P.A.
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
1363L00000XNurse PractitionerPA0000001235TN

General Provider Information

NPI Number : 1427062520
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISHA MOORE P.A.
Provider Business Mailing Address
First Line : 1713 ASHWOOD AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37212-5109
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 617 S 8TH ST
Second Line :
City : NASHVILLE
State : TN
Zip : 37206-3819
Country : US
Telephone Number : 615-228-8902
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 07/08/2007

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Directions to “ ALISHA MOORE P.A.” Practice Location

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