Moore, Coni S

Moore, Coni S is an individual health care provider with primary practice located at 1202 S Tyler St , Covington LA 70433-2330. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Moore, Coni S can be contacted via phone (985) 898-4438.

Contact Information

Primary practice address
1202 S Tyler St Covington LA 70433-2330
Phone: (985) 898-4438
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 03968 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 03968 Louisiana

Profile Details

NPI number 1336169317
LBN Legal business name Moore, Coni S
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Feb 25th, 2021 - about 3 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 1336169317 NPPES
Louisiana Other 03968 NURSE PRACTITIONERS

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