Alexandria Nina Moore

Peer Specialist · Stilwell, OK

Individual Active NPI

NPI number 1104496280

Practice location

716 S 2ND St Ste 101
Stilwell, OK 74960-4806
Phone
(918) 696-6212

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NPI record

NPI
1104496280
Entity type
Individual (Type 1)
Enumeration date
June 30, 2021
Last updated
June 30, 2021
Certified
June 30, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X — —

Mailing address

3845 Southridge Cir Apt 10
Tahlequah, OK 74464-7955
Phone
(561) 901-1043

About Alexandria Moore

Alexandria Nina Moore is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 716 S 2ND St Ste 101, Stilwell, OK 74960-4806. The NPI number 1104496280 was assigned on June 30, 2021 and the record was last updated on June 30, 2021.

Frequently asked questions

What is the NPI number of Alexandria Nina Moore?

The NPI number is 1104496280.

What is the phone number of Alexandria Moore?

The phone number listed for the practice location is (918) 696-6212.

Where is Alexandria Moore located?

716 S 2ND St Ste 101, Stilwell, OK 74960-4806.

What is the taxonomy code for Alexandria Moore?

The primary taxonomy code is 175T00000X – Peer Specialist.

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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