Moore, Stephanie K

Moore, Stephanie K is an individual health care provider with primary practice located at 700 Scott And White Dr , College Station TX 77845-6441. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Moore, Stephanie K can be contacted via phone (979) 207-0100.

Contact Information

Primary practice address
700 Scott And White Dr College Station TX 77845-6441
Phone: (979) 207-0100
Fax: (979) 207-2161
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 82880 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 20440 Tennessee

Profile Details

NPI number 1275915613
LBN Legal business name Moore, Stephanie K
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2015
Last updated Jan 25th, 2022 - 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.

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