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Contact Information

VANESSA A MOORE, RN
34 AUGUSTA LN
BLACKWOOD, NJ08012-5550
 Phone: 856-571-5587
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for VANESSA A MOORE · (Female)

NPI # 1689551228
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 08/18/2025
Last updated 08/18/2025 - About 10 months ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 26NR18098600
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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