Nathaniel James Robert Moore
Athletic Trainer · Apple Valley, MN
NPI number
1104407451
Practice location
15957 Firtree DrApple Valley, MN 55124-5834
- Phone
- (612) 558-4112
NPI record
- NPI
- 1104407451
- Entity type
- Individual (Type 1)
- Enumeration date
- April 19, 2021
- Last updated
- April 19, 2021
- Certified
- April 19, 2021
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
— | — |
About Nathaniel Moore
Nathaniel James Robert Moore is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 15957 Firtree Dr, Apple Valley, MN 55124-5834. The NPI number 1104407451 was assigned on April 19, 2021 and the record was last updated on April 19, 2021.
Frequently asked questions
What is the NPI number of Nathaniel James Robert Moore?
The NPI number is 1104407451.
What is the phone number of Nathaniel Moore?
The phone number listed for the practice location is (612) 558-4112.
Where is Nathaniel Moore located?
15957 Firtree Dr, Apple Valley, MN 55124-5834.
What is the taxonomy code for Nathaniel Moore?
The primary taxonomy code is 2255A2300X – Athletic Trainer.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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