Kristen Nicole Moore, | |
3704 Fanciful Ct, Saint Cloud, FL 34772-8239 | |
(407) 744-2423 | |
Not Available |
Full Name | Kristen Nicole Moore |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3704 Fanciful Ct, Saint Cloud, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629703319 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 11020848 (Florida) | Primary |
Entity Name | Solantic/south Florida Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851344378 PECOS PAC ID: 5496762171 Enrollment ID: O20060321000740 |
Entity Name | Solantic Of Jacksonville Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407893100 PECOS PAC ID: 1052409307 Enrollment ID: O20071120000271 |
Entity Name | Hma-solantic Joint Venture Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689812109 PECOS PAC ID: 6002955788 Enrollment ID: O20091209000716 |
Entity Name | West Boynton Urgent Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003172628 PECOS PAC ID: 0941456537 Enrollment ID: O20120815000049 |
Entity Name | Carespot Of Orlando Hsi Urgent Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306367503 PECOS PAC ID: 8921372558 Enrollment ID: O20170921000186 |
Mailing Address | Practice Location Address |
---|---|
Kristen Nicole Moore, 3704 Fanciful Ct, Saint Cloud, FL 34772-8239 Ph: (407) 744-2423 | Kristen Nicole Moore, 3704 Fanciful Ct, Saint Cloud, FL 34772-8239 Ph: (407) 744-2423 |
Lynette Whaley Bryant, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3100 17th St Ste A, Saint Cloud, FL 34769 Phone: 407-892-0009 | |
Lorraine Ann Wesenberg, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2449 Yellow Brick Rd, Saint Cloud, FL 34772 Phone: 888-646-2273 | |
Vera Lee Ahmad, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1417 Hamlin Ave Unit F, Saint Cloud, FL 34771 Phone: 800-925-1840 Fax: 800-521-9406 | |
Betty Tello, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2013 Live Oak Blvd Ste C, Saint Cloud, FL 34771 Phone: 407-593-2388 Fax: 407-593-2392 | |
Libby Thomas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4745 Old Canoe Creek Rd, Saint Cloud, FL 34769 Phone: 407-743-9373 | |
Dr. Mariela Diaz Alonso, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2090 Old Hickory Tree Rd Ste 107, Saint Cloud, FL 34772 Phone: 689-588-5588 | |
Cassidy Donnarumma, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1847 Westerham Ave, Saint Cloud, FL 34771 Phone: 732-535-3430 |