Moore, Cheri Lyn

Moore, Cheri Lyn is an individual health care provider with primary practice located at 3500 Interstate 30 At Motley Dr. , Mesquite TX 75150. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Moore, Cheri Lyn can be contacted via phone (972) 698-2051.

Contact Information

Primary practice address
3500 Interstate 30 At Motley Dr. Mesquite TX 75150
Phone: (972) 698-2051
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 235104 Texas

Profile Details

NPI number 1205837358
LBN Legal business name Moore, Cheri Lyn
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated May 18th, 2008 - about 17 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205837358 NPPES
Texas MEDICAID 002291501
Texas MEDICAID 090153005

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