Moore, Nancy Beatrice
Moore, Nancy Beatrice is an individual health care provider with primary practice located at 4600 Memorial Dr Ste 240 , Belleville IL 62226-5363. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Moore, Nancy Beatrice can be contacted via phone (618) 234-2390.Contact Information
Primary practice address
4600 Memorial Dr Ste 240
Belleville IL 62226-5363
Phone: (618) 234-2390
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 2015043771 | Missouri |
Profile Details
| NPI number | 1699134346 |
|---|---|
| LBN Legal business name | Moore, Nancy Beatrice |
| Credentials | Women's Health Nurse Practitioner (WHNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2016 |
| Last updated | Nov 6th, 2025 - about last year |
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 | 1699134346 | NPPES |
| Missouri | MEDICAID | 420030426 |
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