National Provider Identifier
Rebecca Ann Moore, RN
Rebecca Ann Moore, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in North Collins, NY and a listed phone number of (716) 337-3706.
Profile Overview
- NPI
- 1811731391
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- June 20, 2024
- Last Updated
- June 20, 2024
Practice Location
- 2101 Spruce St
- North Collins, NY 14111-9701
Phone: (716) 337-3706
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1811731391
- Entity Type
- Individual
- Last Name
- Moore
- First Name
- Rebecca
- Middle Name
- Ann
- Credential
- RN
- Provider Other Last Name
- Stockman
- Provider Other First Name
- Rebecca
- Provider Other Middle Name
- Ann
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 2101 Spruce St
- Mailing City
- North Collins
- Mailing State
- NY
- Mailing ZIP Code
- 14111-9701
- Mailing Country
- US
- Mailing Phone
- (716) 337-3706
- Mailing Fax
- (716) 337-2723
- Practice Street Address
- 2101 Spruce St
- Practice City
- North Collins
- Practice State
- NY
- Practice ZIP Code
- 14111-9701
- Practice Country
- US
- Practice Phone
- (716) 337-3706
- Practice Fax
- (716) 337-2723
- Enumeration Date
- June 20, 2024
- Last Updated
- June 20, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 20, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)