NPI 1558829382
Monte Dale Moore, APRN
Practice location
- Address
- 401 E Vaughn Ave, Ruston, LA 71270-5950
- Phone
- (318) 224-7190
- Mailing address
- PO Box 1288, Winnfield, LA 71483-1288
Registered specialties
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
Primary
Registry record
- NPI
- 1558829382
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Mar 2019
- Record last updated
- 26 Jun 2019
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.