NPI 1477246783

Irish Moore

Practitioner Peer Specialist Sheridan, WY

Practice location

Address: 1221 W 5th St, Sheridan, WY 82801-2701
Phone: (307) 674-4405

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 126 (WY)

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Registry record

NPI: 1477246783
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Jun 2023
Record last updated: 1 Jun 2023

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.