Tracey D. Moore is a Family in Cheyenne, . Tracey D. Moore practices all healthcare services and medical treatments related to Family. The NPI Number for Tracey D. Moore is 1720188022. The last update date is 2009-05-11.
Tracey D. Moore's current location address is 214 E 23rd St, Cheyenne, . You can contact this provider via phone number 3076342273 and fax number 3076337671. The mailing address for Tracey D. Moore is 214 E 23rd St, Cheyenne, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracey D. Moore |
|---|---|
| Address | 214 E 23rd St, Cheyenne, |
| Phone Number | 3076342273 |
| Fax Number | 3076337671 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1720188022 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2009-05-11 |
Provider Mailing Address Detail
| Address | 214 E 23rd St |
|---|---|
| City | Cheyenne |
| State | (WY) |
| Post Code | 820013748 |
| Phone Number | 3076342273 |
| Fax Number | 3076337671 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 175880851 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 123828100 | WY | -- | |
| 35177837 | CO | -- | |
| 314502 | WY | BCBS |
Post Comment/ Review Below
What is the Tracey D. Moore's 1720188022?
The Tracey D. Moore's NPI (National Provider Identifier) Number is 1720188022. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Tracey D. Moore's facilities are situated?
The facilities of Tracey D. Moore are physically located at the following address: 214 E 23Rd St, Cheyenne, WY, 820013748.
What is Tracey D. Moore's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tracey D. Moore's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
When was the Tracey D. Moore's 1720188022 issued?
The Tracey D. Moore's 1720188022 was issued on 2006-09-25.
As of what date was the information pertaining to Tracey D. Moore, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Tracey D. Moore, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-05-11.