Wanda G Moore is a Family in Pulaski, Tennessee. Wanda G Moore practices all healthcare services and medical treatments related to Family. The NPI Number for Wanda G Moore is 1477686087. The last update date is 2014-07-21.
Wanda G Moore's current location address is 1414 W College St, Pulaski, Tennessee. You can contact this provider via phone number 9313633004 and fax number 9313636004. The mailing address for Wanda G Moore is 1414 W College St, Pulaski, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wanda G Moore |
|---|---|
| Address | 1414 W College St, Pulaski, Tennessee |
| Phone Number | 9313633004 |
| Fax Number | 9313636004 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1477686087 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2014-07-21 |
Provider Mailing Address Detail
| Address | 1414 W College St |
|---|---|
| City | Pulaski |
| State | Tennessee (TN) |
| Post Code | 384785202 |
| Phone Number | 9313633004 |
| Fax Number | 9313636004 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 18773 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique provider identifier assigned to Wanda G Moore?
The Wanda G Moore has been issued the NPI (National Provider Identifier) 1477686087 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Wanda G Moore located?
The Wanda G Moore is located at 1414 W College St, Pulaski, TN 384785202.
What is Wanda G Moore's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Wanda G Moore is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.
On what date was the 1477686087 assigned to Wanda G Moore?
The Wanda G Moore was issued its 1477686087 on 2007-03-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Wanda G Moore's details last updated?
The information pertaining to the Wanda G Moore, including its address, specialty, and other details, was most recently updated on 2014-07-21.
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