Edie Moore, NP Valid NPI
Individual provider · Nurse Practitioner · Torrance, CA
- NPI
- 1851686539
- Type
- Individual (Type 1)
- Primary specialty
- Nurse Practitioner
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363L00000X
- License number
- 12851 (CA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2011-06-10
- Last updated
- 2011-06-10
Practice location
23451 Madison St Ste 330
Torrance, CA 90505-4762
(310) 375-9994