| Doctor Name: | VICKI DARLENE MOORE |
| NPI Number: | 1023193745 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, MSN, ACNP |
| License Number: | NP12604 |
| Business Practice Address: | 1000 Trancas St Napa, CA - 945582906 |
| Business Phone Number: | 7072524411 |
| Business Fax Number: | |
| Mailing Address: | 2564 Edgewater Dr, NAPA |
| State: | CA |
| Postal Code: | 945583641 |
| Phone Number: | 7072245848 |
| Fax Number: | |
| NPI Enumeration Date: | 10/25/2006 |
| NPI Last Update Date: | 12/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | NP12604 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |