Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. BERTHA JEAN MOORE, RN
Active Sole ProprietorMS. BERTHA JEAN MOORE, RN is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in PRESCOTT, Arizona. NPI 1073266722 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · PRESCOTT, AZ
Registration Details
- NPI Number
- 1073266722
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 2, 2022 (4.3469002023548 yrs)
- Last Updated
- Feb 2, 2022
- License
-
RN070305 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
236 MIDWAYPRESCOTT, AZ, 863055051Browse AZ providers · Browse ZIP 86305
- Phone
- 6507991017
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
163WP2201X
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.