Courtney Michelle Moore
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Adair, OK
NPI 1306290333 · NPPES record last updated Apr 15, 2016
Key facts
- NPI
- 1306290333
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- 37V533161114 (OK)
- Practice address
- 3852 W 370 Rd
Adair, OK 74330-2792 - Phone
- (918) 782-8988
- NPI assigned
- Apr 15, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37V533161114 | OK | MD | Student in an Organized Health Care Education/Training Program |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 37V533161114 | OK | Yes |
Addresses
Primary practice location
3852 W 370 Rd
Adair, OK 74330-2792
Mailing address
3852 W 370 Rd
Adair, OK 74330-2792
Phone (918) 782-8988
Other providers in Adair, OK
- Adair Public Schools
- Danna Sue Brachtenbach
- Rebecca Hamill
- Alexis Brooke Jones
- Mindview
- Ashley Annette Perryman
- Lanie Rae Scott
- William Russell Van de Linder
- Daniel Scott Wengerd
All providers in Adair, OK · Student in an Organized Health Care Education/Training Program in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.