Doctor Name: | DR. BRITTANEY LEIGH MOORE |
NPI Number: | 1023410826 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C.R.N.P. |
License Number: | SP014093 |
Business Practice Address: | 1 Nolte Dr Kittanning, PA - 162017111 |
Business Phone Number: | 7245438268 |
Business Fax Number: | |
Mailing Address: | 167 Stoup Rd, MARS |
State: | PA |
Postal Code: | 160463811 |
Phone Number: | 7246400565 |
Fax Number: | |
NPI Enumeration Date: | 09/23/2014 |
NPI Last Update Date: | 09/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP014093 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |