Sandra J. Moore in Pine City - Family

Sandra J. Moore - NPI 1851510366

Sandra J. Moore is a Family in Pine City, Minnesota. Sandra J. Moore practices all healthcare services and medical treatments related to Family. The NPI Number for Sandra J. Moore is 1851510366. The last update date is 2020-11-12.

Sandra J. Moore's current location address is 1425 Main St N, Pine City, Minnesota. You can contact this provider via phone number 3206297505 and fax number 3206292202. The mailing address for Sandra J. Moore is 1425 Main St N, Pine City, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Sandra J. Moore
Address 1425 Main St N, Pine City, Minnesota
Phone Number 3206297505
Fax Number 3206292202
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1851510366
Provider Enumeration Date 2007-04-24
Last Updated Date 2020-11-12

Provider Mailing Address Detail

Address 1425 Main St N
City Pine City
State Minnesota (MN)
Post Code 550636026
Phone Number 3206297505
Fax Number 3206292202

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No R 181983-4
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

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FAQs about Sandra J. Moore

What is the unique provider identifier assigned to Sandra J. Moore?

The Sandra J. Moore has been issued the NPI (National Provider Identifier) 1851510366 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Sandra J. Moore is physically located?

The Sandra J. Moore is physically situated at the following address: 1425 Main St N, Pine City, MN, 550636026.

What is Sandra J. Moore's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Sandra J. Moore is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.

On what date did the Sandra J. Moore receive the assignment of its 1851510366 from the Centers for Medicare & Medicaid Services?

The Sandra J. Moore was issued its 1851510366 by the Centers for Medicare & Medicaid Services on 2007-04-24.

When was the Sandra J. Moore's information last updated?

The Sandra J. Moore's information was last updated on 2020-11-12.

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