Hollis, Randi Moore

Hollis, Randi Moore is an individual health care provider with primary practice located at 1220 E 3900 S Ste 1F , Salt Lake City UT 84124-1327. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Hollis, Randi Moore can be contacted via phone (801) 262-5711.

Contact Information

Primary practice address
1220 E 3900 S Ste 1F Salt Lake City UT 84124-1327
Phone: (801) 262-5711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5038133-4405 Utah
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5038133-4405 Utah

Profile Details

NPI number 1346642121
LBN Legal business name Hollis, Randi Moore
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2014
Last updated Jul 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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