Misty Ann Moore is a Family in Southaven, Mississippi. Misty Ann Moore practices all healthcare services and medical treatments related to Family. The NPI Number for Misty Ann Moore is 1063465482. The last update date is 2017-11-28.
Misty Ann Moore's current location address is 7585 Clarington Cove, Southaven, Mississippi. You can contact this provider via phone number 6623490200. The mailing address for Misty Ann Moore is 7585 Clarington Cove, Southaven, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Misty Ann Moore |
|---|---|
| Address | 7585 Clarington Cove, Southaven, Mississippi |
| Phone Number | 6623490200 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | C.R.N.P. |
NPI Number Detail
| NPI Number | 1063465482 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2017-11-28 |
Provider Mailing Address Detail
| Address | 7585 Clarington Cove |
|---|---|
| City | Southaven |
| State | Mississippi (MS) |
| Post Code | 386711516 |
| Phone Number | 6623490200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | APN11904 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 406746100 | MD | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Misty Ann Moore by the Centers for Medicare & Medicaid Services?
The Misty Ann Moore has been issued the NPI (National Provider Identifier) 1063465482, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Misty Ann Moore is physically located?
The Misty Ann Moore is physically situated at the following address: 7585 Clarington Cove, Southaven, MS, 386711516.
What is Misty Ann Moore's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Misty Ann Moore is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.
When did Misty Ann Moore receive its 1063465482 assignment?
The Misty Ann Moore was assigned its 1063465482 on 2006-05-18, which is the date when this unique identifier was issued to the organization.
When was the Misty Ann Moore's information last updated?
The Misty Ann Moore's information was last updated on 2017-11-28.