Moore, Carly
Moore, Carly is an individual health care provider with primary practice located at 2831 Fort Missoula Rd Ste 146 , Missoula MT 59804-7401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Moore, Carly can be contacted via phone (406) 327-3850.Contact Information
Primary practice address
2831 Fort Missoula Rd Ste 146
Missoula MT 59804-7401
Phone: (406) 327-3850
Fax: (406) 327-3851
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NUR-APRN-LIC-195589 | Montana |
Profile Details
| NPI number | 1457081846 |
|---|---|
| LBN Legal business name | Moore, Carly |
| Credentials | MSN, APRN, FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2022 |
| Last updated | Apr 1st, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457081846 | NPPES |
| Montana | Other | NUR-APRN-LIC-195589 | MONTANA APRN LICENSE |
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