Moore, Diane A

Moore, Diane A is an individual health care provider with primary practice located at 475 Kilvert St , Warwick RI 02886-1392. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Moore, Diane A can be contacted via phone (401) 871-1026.

Contact Information

Primary practice address
475 Kilvert St Warwick RI 02886-1392
Phone: (401) 871-1026
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X NPP00142-T Rhode Island

Profile Details

NPI number 1467697169
LBN Legal business name Moore, Diane A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2008
Last updated Jul 23rd, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467697169 NPPES
Rhode Island Other 1467697169 NPI

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