Moore, Coni S
Moore, Coni S is an individual health care provider with primary practice located at 1202 S Tyler St , Covington LA 70433-2330. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Moore, Coni S can be contacted via phone (985) 898-4438.Contact Information
Primary practice address
1202 S Tyler St
Covington LA 70433-2330
Phone: (985) 898-4438
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 03968 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 03968 | Louisiana |
Profile Details
| NPI number | 1336169317 |
|---|---|
| LBN Legal business name | Moore, Coni S |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Feb 25th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336169317 | NPPES |
| Louisiana | Other | 03968 | NURSE PRACTITIONERS |
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