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NPI Code Detail

MEDICARE: SIDRA MOORE APRN, FNP-BC

MEDICARE: SIDRA MOORE APRN, FNP-BC
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
1363LF0000XFamily Nurse Practitioner1019553TX

General Provider Information

NPI Number : 1629910070
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIDRA MOORE APRN, FNP-BC
Provider Business Mailing Address
First Line : PO BOX 2604
Second Line :
City : CYPRESS
State : TX
Zip : 77410-2604
Country : US
Telephone Number : 281-826-1524
Fax Number :
Provider Business Practice Location Address
First Line : 7600 FANNIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77054-1906
Country : US
Telephone Number : 713-790-1234
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ SIDRA MOORE APRN, FNP-BC” Practice Location

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