Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | APRN.CNP024101 | OH |
NPI | 1033350467 |
---|---|
Provider Name | Mrs. Rosalind Moore |
First Address | Cincinnati, OH 45240-1534 |
Second Address | Cincinnati, OH 45229-2689 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2009 |
Last Update Date | 15/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1033350467 | (05) | OH |