Moore, Glenda Irene

Moore, Glenda Irene is an individual health care provider with primary practice located at 2505 W 14Th St , Oakland CA 94607-5031. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Moore, Glenda Irene can be contacted via phone (510) 587-3400.

Contact Information

Primary practice address
2505 W 14Th St Oakland CA 94607-5031
Phone: (510) 587-3400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 514085 California

Profile Details

NPI number 1083698393
LBN Legal business name Moore, Glenda Irene
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Oct 14th, 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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