Roberta Moore, FNP-C | |
2240 E Winrow Ave, Fort Huachuca, AZ 85613 | |
(520) 533-2246 | |
Not Available |
Full Name | Roberta Moore |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2240 E Winrow Ave, Fort Huachuca, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275992646 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 123231 (Arizona) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP9606 (Arizona) | Primary |
Entity Name | Bisbee Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518968767 PECOS PAC ID: 5092626168 Enrollment ID: O20040623001007 |
Mailing Address | Practice Location Address |
---|---|
Roberta Moore, FNP-C 2240 E Winrow Ave, Fort Huachuca, AZ 85613 Ph: (520) 533-2246 | Roberta Moore, FNP-C 2240 E Winrow Ave, Fort Huachuca, AZ 85613 Ph: (520) 533-2246 |
Bridget Mackie, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2240 Winrow Rd, Fort Huachuca, AZ 85613 Phone: 520-533-9200 | |
Ms. Kara Jean Barr, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2240 Winrow Rd, Fort Huachuca, AZ 85613 Phone: 520-533-0752 | |
Dr. Deborah A. Crowe, DNP, FNP-BC, PMHNP-B Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2240 Winrow Rd, Fort Huachuca, AZ 85613 Phone: 520-533-5161 | |
Robert J Staggs, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2240 Winrow Rd, Fort Huachuca, AZ 85613 Phone: 520-533-9033 Fax: 520-533-5328 | |
Stefanie M Patrick, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2240 Winrow Rd Bldg 45001, Fort Huachuca, AZ 85613 Phone: 520-533-9033 Fax: 520-833-5328 | |
Paul Francis Llarue, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2240 Winrow Ave, Us Meddac, Rwbahc, Fort Huachuca, AZ 85613 Phone: 520-533-2627 | |
Shannon Cregeur Darket, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2240 Winrow Ave, Usa Meddac, Rwbahc, Fort Huachuca, AZ 85613 Phone: 734-834-4096 |