Susan Joana Moore in Reno - Nurse Practitioner
Susan Joana Moore - NPI 1467617407
Susan Joana Moore is a Nurse Practitioner in Reno, Nevada. Susan Joana Moore practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Susan Joana Moore is 1467617407. The last update date is 2015-05-15.
Susan Joana Moore's current location address is 975 Ryland St Ste 100, Reno, Nevada. You can contact this provider via phone number 7759825000 and fax number 7759825225. The mailing address for Susan Joana Moore is 975 Ryland St Ste 100, Reno, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Joana Moore |
|---|---|
| Address | 975 Ryland St Ste 100, Reno, Nevada |
| Phone Number | 7759825000 |
| Fax Number | 7759825225 |
| Sole Proprietor | N |
| Credentials | N.P. |
NPI Number Detail
| NPI Number | 1467617407 |
|---|---|
| Provider Enumeration Date | 2008-07-18 |
| Last Updated Date | 2015-05-15 |
Provider Mailing Address Detail
| Address | 975 Ryland St Ste 100 |
|---|---|
| City | Reno |
| State | Nevada (NV) |
| Post Code | 895021669 |
| Phone Number | 7759825000 |
| Fax Number | 7759825225 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | APRN001004 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1467617407 | NV | -- | |
| 12215917 | CAQH |
Post Comment/ Review Below
What is the unique identifier code issued to Susan Joana Moore by the Centers for Medicare & Medicaid Services (CMS)?
The Susan Joana Moore has been assigned the NPI (National Provider Identifier) 1467617407. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Susan Joana Moore is located?
The Susan Joana Moore is situated at the following address: 975 Ryland St Ste 100, Reno, NV, 895021669.
What is Susan Joana Moore's specialized field of practice, and what is the corresponding taxonomy classification code?
The Susan Joana Moore's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1467617407 to Susan Joana Moore?
The Centers for Medicare & Medicaid Services originally issued the 1467617407 to Susan Joana Moore on 2008-07-18.
When was the information regarding Susan Joana Moore most recently updated?
The details pertaining to the Susan Joana Moore, including its address, specialty, and other relevant information, were last refreshed on 2015-05-15.