Ms Priscilla Moore, is a
Registered Nurse based in S Pasadena, California. Ms Priscilla Moore is licensed to practice in California (license number RN409596) and her current practice location is
1499 Huntington Dr Ste 101, S Pasadena, California. She can be reached at her office (for appointments etc.) via phone at
(626) 403-4370.
NPI number for Ms Priscilla Moore is 1447698600 and her current mailing address is 1499 Huntington Dr Ste 101, S Pasadena, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447698600.
Provider's Profile
| Full Name | Ms Priscilla Moore |
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| Gender | Female |
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| Speciality | Registered Nurse |
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| Location | 1499 Huntington Dr Ste 101, S Pasadena, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1447698600
- Provider Enumeration Date: 06/10/2013
- Last Update Date: 06/10/2013
Medical Identifiers
Medical identifiers for Ms Priscilla Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447698600 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | RN409596 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Priscilla Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Priscilla Moore,
1499 Huntington Dr Ste 101,
S Pasadena, CA 91030-5444
Ph: (626) 403-4370 | Ms Priscilla Moore,
1499 Huntington Dr Ste 101,
S Pasadena, CA 91030-5444
Ph: (626) 403-4370 |
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