Doctor Name: | ELIZABETH ANN MOORE |
NPI Number: | 1003151614 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | COA.14100-NP |
Business Practice Address: | 3333 Burnet Ave Ml 2003 Cincinnati, OH - 452293026 |
Business Phone Number: | 5136364432 |
Business Fax Number: | 5136363952 |
Mailing Address: | 3333 Burnet Ave, Ml 2003 CINCINNATI |
State: | OH |
Postal Code: | 452293026 |
Phone Number: | 5136364432 |
Fax Number: | 5136363952 |
NPI Enumeration Date: | 12/07/2012 |
NPI Last Update Date: | 12/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | COA.14100-NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |