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
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1467617407 NV --
12215917 CAQH

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FAQs about Susan Joana Moore

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.

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