Brandon Moore
Registered Nurse in North Royalton, OH. Individual provider (NPI-1).
NPI number1902467384
StatusActive
Last updated in NPPESJun 26, 2019
Details
- NPI
- 1902467384
- Entity type
- Individual (NPI-1)
- Name
- Brandon Moore
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2019
- Last updated
- Jun 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 400531 | OH | Yes |
Practice location
14119 Pine Forest Dr Apt 312North Royalton, OH 44133-5042
Phone 216-712-5085
Mailing address
14119 Pine Forest Dr Apt 312North Royalton, OH 44133-5042
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All 14 Registered Nurse providers in North Royalton · All 441 providers in North Royalton
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