Saabreenah Moore, APRN
Nurse Practitioner in Manchester, CT. Individual provider (NPI-1).
NPI number1457085227
StatusActive
Last updated in NPPESJul 15, 2022
Details
- NPI
- 1457085227
- Entity type
- Individual (NPI-1)
- Name
- Saabreenah Moore
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 15, 2022
- Certification date
- Jul 15, 2022
- Last updated
- Jul 15, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2022028202 | CT | Yes |
Practice location
565 Vernon StManchester, CT 06042-2409
Phone 860-643-5151
Mailing address
565 Vernon StManchester, CT 06042-2498
Phone 860-643-5151
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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