Moore, Kristen

Moore, Kristen is an individual health care provider with primary practice located at 5681 N Oracle Rd , Tucson AZ 85704-3813. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Moore, Kristen can be contacted via phone (520) 293-6686.

Contact Information

Primary practice address
5681 N Oracle Rd Tucson AZ 85704-3813
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN100392 Arizona

Profile Details

NPI number 1487653895
LBN Legal business name Moore, Kristen
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Mar 25th, 2011 - about 14 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 1487653895 NPPES
Arkansas MEDICAID 431495

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