Doctor Name: | SHARON ELIZABETH MOORE |
NPI Number: | 1376817650 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP-BC |
License Number: | F305763-1 |
Business Practice Address: | 292 Main St East Aurora, NY - 140521650 |
Business Phone Number: | 7166525160 |
Business Fax Number: | 7166520018 |
Mailing Address: | 292 Main St, EAST AURORA |
State: | NY |
Postal Code: | 140521650 |
Phone Number: | 7166525160 |
Fax Number: | 7166520018 |
NPI Enumeration Date: | 03/03/2012 |
NPI Last Update Date: | 03/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | F305763-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |