CONSUELO MOORE


Address: 2850 E Skyline Dr Ste 130, Tucson, AZ 85718-8013
Phone: 5206385757

CONSUELO MOORE (NPI# 1639623531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639623531
Entity Type Individual
Full Name CONSUELO MOORE
Other Name CONSUELO ROMERO
Credential FNP-C
Practice Address 2850 E Skyline Dr Ste 130
Tucson
AZ 85718-8013
Mailing Address Po Box 188
Marana
AZ 85653-0188
Practice Telephone 5206385757
Mailing Telephone 5206824111
Mailing Fax Number 5208183630
Enumeration Date 2016-08-09
Last Update Date 2016-12-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP8755 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2850 E SKYLINE DR STE 130
City TUCSON
State AZ
Zip Code 85718-8013

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730344102 Mateja De Leonni Stanonik Psychiatry & Neurology 2850 E Skyline Dr Ste 130, Tucson, AZ 85718-8013 2008-07-24

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1841676616 Manal W Sabri Speech-Language Pathologist 1050 E River Plaza, Suite 100, Tucson, AZ 85718 2015-08-04
1538569983 Kristen Zaporowski Physical Therapist 1800 East River Road, Suite #200, Tucson, AZ 85718 2014-09-03
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City TUCSON
Zip Code 85718

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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