Wendy M Moore
Nurse Practitioner
901 28th St S
Fargo
, North Dakota 58103
Wendy M Moore
Nurse Practitioner
901 28th St S
Fargo
, North Dakota 58103
(701) 540-6498
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Wendy M Moore
- 901 28th St S
- Fargo, ND
- Zip : 58103-8743
- Fax : (701) 540-6498
- Phone : (701) 404-1100
Second Address
- Wendy M Moore
- 901 28th St S
- Fargo, ND
- Zip : 58103
- Fax : (701) 540-6498
- Phone : (701) 404-1100
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R36755 | ND |
National Provider Identifier
| NPI | 1003242256 |
|---|---|
| Provider Name | Wendy M Moore |
| First Address | Fargo, ND 58103-8743 |
| Second Address | Fargo, ND 58103 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/09/2013 |
| Last Update Date | 03/07/2018 |
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.