Moore, Sandra J.

Moore, Sandra J. is an individual health care provider with primary practice located at 1425 Main St N , Pine City MN 55063-6026. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Moore, Sandra J. can be contacted via phone (320) 629-7505.

Contact Information

Primary practice address
1425 Main St N Pine City MN 55063-6026
Phone: (320) 629-7505
Fax: (320) 629-2202
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 157868 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R 181983-4 Minnesota

Profile Details

NPI number 1851510366
LBN Legal business name Moore, Sandra J.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Nov 12th, 2020 - about 4 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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