Doctor Name: | MRS. CARALYNN FAYE MOORE |
NPI Number: | 1467454884 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | RN5925 |
Business Practice Address: | 19 1st St Ne Choteau, MT - 594229275 |
Business Phone Number: | 4064665165 |
Business Fax Number: | 4064662536 |
Mailing Address: | 19 1st St Ne, CHOTEAU |
State: | MT |
Postal Code: | 594229275 |
Phone Number: | 4064665165 |
Fax Number: | 4064662536 |
NPI Enumeration Date: | 08/15/2005 |
NPI Last Update Date: | 07/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN5925 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |