NPI 1013550383

Nicholas Moore

Practitioner Certified Registered Nurse Anesthetist Tempe, AZ

Practice location

Address: 1500 S Mill Ave, Tempe, AZ 85281-6699
Phone: (480) 784-5500
Mailing address: 912 Granger Farm Way, Las Vegas, NV 89145-8618

Registered specialties (3)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 246503 (AZ)

Other Nurse Anesthetist, Certified Registered providers in Arizona →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence NA95001207 (CA)

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 834330 (NV)

Registry record

NPI: 1013550383
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Oct 2019
Record last updated: 15 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.