Brooke Marie Moore
Pediatrician Pediatric Pulmonologist
2530 Chicago Ave Suite 400
Minneapolis
, Minnesota 55404-4289
Brooke Marie Moore
Pediatrician Pediatric Pulmonologist
2530 Chicago Ave Suite 400
Minneapolis
, Minnesota 55404-4289
(612) 813-3349
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About
Features
Specialties
- Pediatrician
- Pediatric Pulmonologist
Languages spoken
- English
Location
First Address
- Brooke Marie Moore
- 2530 Chicago Ave Suite 400
- Minneapolis, MN
- Zip : 55404-4289
- Fax : (612) 813-3349
- Phone : (612) 813-3300
Second Address
- Brooke Marie Moore
- 2530 Chicago Ave Suite 400
- Minneapolis, MN
- Zip : 55404-4289
- Fax : (612) 813-3349
- Phone : (612) 813-3300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 18799 | MN |
| Y | 2080P0214X | Pediatric Pulmonologist | 49815 | MN |
National Provider Identifier
| NPI | 1568662195 |
|---|---|
| Provider Name | Brooke Marie Moore |
| First Address | Minneapolis, MN 55404-4289 |
| Second Address | Minneapolis, MN 55404-4289 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/07/2007 |
| Last Update Date | 19/10/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.