Kelly Marie Moore, FNP-BC Valid NPI

Individual provider · Family Nurse Practitioner · San Bernardino, CA

NPI

1649049305

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

95028281 (CA)

Sex

Female

Sole proprietor

No

Enumerated

2023-12-22

Last updated

2026-02-14