Moore, Nathan

Moore, Nathan is an individual health care provider with primary practice located at 7334 S Lindbergh Blvd , Saint Louis MO 63125-4522. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Moore, Nathan can be contacted via phone (314) 892-8352.

Contact Information

Primary practice address
7334 S Lindbergh Blvd Saint Louis MO 63125-4522
Phone: (314) 892-8352
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2021013225 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X ARNP9367810 Florida

Profile Details

NPI number 1154846442
LBN Legal business name Moore, Nathan
Credentials APRN-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2017
Last updated May 27th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1154846442 NPPES
Florida MEDICAID 105038800

Popular Providers