Most Relevant Information
Provider Data
| NPI Number: | 1003822925 |
| Provider Name: | IRENE MOORE NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | RN4177046768 |
Most Important Dates
| Enumeration Date: | 07/31/2006 |
| Last Updated: | 03/07/2023 |
Provider Practice Location
7130 N MILLBROOK AVE STE 100
FRESNO
CA
93720
Practice Location Phone/Fax
| Phone: | 5593261222 |
| Fax: | 5593261230 |
Provider Mailing Location
PO BOX 25100
FRESNO
CA
937295100
Provider Mailing Phone/Fax
| Phone: | 5593261222 |
| Fax: | 5593261230 |