MEDICARE: CHARLOTTE 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
1	363LF0000X	Family Nurse Practitioner	2015009949	MO

General Provider Information

NPI Number	:	1598158693
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLOTTE MOORE FNP-C

Provider Business Mailing Address
First Line	:	22 BRIXWORTH CT
Second Line	:
City	:	BLACK JACK
State	:	MO
Zip	:	63033-7438
Country	:	US
Telephone Number	:	314-393-6693
Fax Number	:

Provider Business Practice Location Address
First Line	:	13655 RIVERPORT DR
Second Line	:
City	:	MARYLAND HTS
State	:	MO
Zip	:	63043-4812
Country	:	US
Telephone Number	:	314-592-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2015
Last Update Date	:	01/27/2022

Similar Medicare Providers

1528636230 — GOOD CARE HOME CARE INC
Practice Location Address:

5807 WHITEFIELD ST
DEARBORN HTS, MI
48127-4812

Practice Phone: 313-673-5672
Practice Fax:

1689957524 — MRS. TAMMY P HYLAN
Practice Location Address:

12509 DORSETT RD
MARYLAND HTS, MO
63043-3909

Practice Phone: 314-434-4224
Practice Fax: 341-424-6119

1609276799 — MS. MELANIE WARREN I LPN
Practice Location Address:

56 DOWNING ST
MARYLAND HTS, MO
63043-1909

Practice Phone: 636-295-1322
Practice Fax:

1730781097 — MICHELLE LINDSEY
Practice Location Address:

11477 PINEVIEW CROSSING DR
MARYLAND HTS, MO
63043-5103

Practice Phone: 314-368-5720
Practice Fax:

1003564139 — BLOSSOM CARE SERVICES LLC
Practice Location Address:

11477 PINEVIEW CROSSING DR
MARYLAND HTS, MO
63043-5103

Practice Phone: 314-941-2631
Practice Fax:

1184348716 — COMPLETE HOMECARE MISSOURI LLC
Practice Location Address:

3029 DONNYCAVE LN
MARYLAND HTS, MO
63043-1318

Practice Phone: 917-847-0810
Practice Fax:

Directions to “ CHARLOTTE MOORE FNP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.