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Contact Information

BETTY MOORE, RN, BSN
2875 DEVONSHIRE DR
FLORISSANT, MO63033
 Phone: 314-299-2360
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

163WH0200X
Indicates primary specialty

NPI Profile & details for BETTY MOORE · (Female)

NPI # 1194243477
Status Active
Credentials RN, BSN
Entity Individual
Enumeration date 09/06/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2014032718
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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