MRS. SANDRA JEANNE MOORE RN NPI 1376843714

NPI Information

NPI: 1376843714
Provider Name: MRS. SANDRA JEANNE MOORE, RN
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
107 W BROADWAY
PATHWAY'S BEHAVIORAL HEALTH CARE
ELDORADO SPRINGS, MO
ZIP 64744
Phone: (417) 876-5314
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MRS. Sandra Jeanne Moore, RN is a psychiatric/mental health registered nurse in Eldorado Springs, MO. MRS. Sandra Jeanne Moore, RN NPI is 1376843714. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

107 W BROADWAY
PATHWAY'S BEHAVIORAL HEALTH CARE
ELDORADO SPRINGS, MO
ZIP 64744
Phone: (417) 876-5314
Fax: (417) 876-5328

The enumeration date for this NPI number is 11/2/2010 and was last updated on 11/2/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	042689	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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