Most Relevant Information
Provider Data
| NPI Number: | 1003514498 |
| Provider Name: | S NICOLE MOORE RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WG0000X |
| Specialty: | Registered Nurse |
| License Number: | RN.363651 |
Most Important Dates
| Enumeration Date: | 02/16/2023 |
| Last Updated: | 02/16/2023 |
Provider Practice Location
1301 N HIGH ST
COLUMBUS
OH
432012460
Practice Location Phone/Fax
| Phone: | 6142996600 |
| Fax: |
Provider Mailing Location
1301 N HIGH ST
COLUMBUS
OH
432012460
Provider Mailing Phone/Fax
| Phone: | 6142996600 |
| Fax: |