Moore, Hannah Marie

Moore, Hannah Marie is an individual health care provider with primary practice located at 2132 E 3Rd St , Dayton OH 45403-1991. 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, Hannah Marie can be contacted via phone (937) 528-6850.

Contact Information

Primary practice address
2132 E 3Rd St Dayton OH 45403-1991
Phone: (937) 528-6850
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X COA.13721-NP Ohio
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN.CNP.13721 Ohio

Profile Details

NPI number 1427309202
LBN Legal business name Moore, Hannah Marie
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2012
Last updated Jan 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427309202 NPPES
Ohio MEDICAID 0072755

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