Moore, Nicole Kay

Moore, Nicole Kay is an individual health care provider with primary practice located at 8118 Good Luck Rd , Lanham MD 20706-3574. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Moore, Nicole Kay can be contacted via phone (301) 324-4968.

Contact Information

Primary practice address
8118 Good Luck Rd Lanham MD 20706-3574
Phone: (301) 324-4968
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X RN.331366 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R224991 Maryland

Profile Details

NPI number 1720430580
LBN Legal business name Moore, Nicole Kay
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2016
Last updated Feb 8th, 2019 - about 6 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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