Miss Audrey Kim Moore
Nurse Practitioner - Neonatal
725 Welch Rd.
Palo Alto
, California 94304
Miss Audrey Kim Moore
Nurse Practitioner - Neonatal
725 Welch Rd.
Palo Alto
, California 94304
(650) 497-8034
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Miss Audrey Kim Moore
- 725 Welch Rd.
- Palo Alto, CA
- Zip : 94304
- Fax : (650) 497-8034
- Phone : (650) 497-8800
Second Address
- Miss Audrey Kim Moore
- 725 Welch Rd.
- Palo Alto, CA
- Zip : 94304
- Phone : (718) 904-4032
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LN0000X | Nurse Practitioner - Neonatal | F350322 | NY |
| Y | 363LN0000X | Nurse Practitioner - Neonatal | NP22335 | CA |
National Provider Identifier
| NPI | 1053604181 |
|---|---|
| Provider Name | Miss Audrey Kim Moore |
| First Address | Palo Alto, CA 94304 |
| Second Address | Palo Alto, CA 94304 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2011 |
| Last Update Date | 14/10/2014 |
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.