Ms. Glenda Irene Moore
Nurse Practitioner - Primary Care
2505 W 14th St
Oakland
, California 94607-5031
Ms. Glenda Irene Moore
Nurse Practitioner - Primary Care
2505 W 14th St
Oakland
, California 94607-5031
(925) 676-0743
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Ms. Glenda Irene Moore
- 306 Mercury Way
- Pleasant Hill, CA
- Zip : 94523-2185
- Phone : (925) 676-0743
Second Address
- Ms. Glenda Irene Moore
- 2505 W 14th St
- Oakland, CA
- Zip : 94607-5031
- Phone : (510) 587-3400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 514085 | CA |
National Provider Identifier
| NPI | 1083698393 |
|---|---|
| Provider Name | Ms. Glenda Irene Moore |
| First Address | Pleasant Hill, CA 94523-2185 |
| Second Address | Oakland, CA 94607-5031 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/11/2005 |
| Last Update Date | 14/10/2015 |
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.