Moore, Roberta

Moore, Roberta is an individual health care provider with primary practice located at 2240 E Winrow Ave , Fort Huachuca AZ 85613. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Moore, Roberta can be contacted via phone (520) 533-2246.

Contact Information

Primary practice address
2240 E Winrow Ave Fort Huachuca AZ 85613
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 123231 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP9606 Arizona

Profile Details

NPI number 1275992646
LBN Legal business name Moore, Roberta
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2016
Last updated Jan 6th, 2017 - about 7 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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