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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICHOLAS MOORE

Active

NICHOLAS MOORE is a Certified Nurse Anesthetist (CRNA) healthcare provider located in TEMPE, Arizona. NPI 1013550383 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · TEMPE, AZ

Registration Details

NPI Number
1013550383
Provider Type
Individual
Gender
Male
NPI Issued
Oct 19, 2019 (6.8006321198859 yrs)
Last Updated
Oct 15, 2021
Licenses
NA95001207 (CA)
834330 (NV)
246503 (AZ)

Practice Information

Address
1500 S MILL AVE
TEMPE, AZ, 852816699
Browse AZ providers · Browse ZIP 85281
Phone
4807845500
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in TEMPE, AZ

Name Credential NPI
MRS. BRIDGET NESTER PETRILLO CRNA 1538271374
MR. CHARLES DAVID LAINE CRNA 1003911520
DR. AARON RAY KETCHER DNP, FNP, CRNA, NSPM 1891934790
JARED CRAIG WEEKES CRNA 1639480577
ANGELA L FOUNTAIN CRNA 1255776308
DR. GREGG TIDRICK DNP 1841856598
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.