Moore, Cynthia L

Moore, Cynthia L is an individual health care provider with primary practice located at 269 Union St , Lynn MA 01901-1314. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Moore, Cynthia L can be contacted via phone (781) 599-3925.

Contact Information

Primary practice address
269 Union St Lynn MA 01901-1314
Phone: (781) 599-3925
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 200257 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN200257 Massachusetts

Profile Details

NPI number 1346209897
LBN Legal business name Moore, Cynthia L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Sep 27th, 2013 - about 11 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 1346209897 NPPES
Massachusetts Other NP3279 BLUE CROSS
Massachusetts MEDICAID 702234 BLUE CROSS

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