Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK BENTON MOORE, ARNP
ActiveMARK BENTON MOORE, ARNP is a Pediatric Nurse Practitioner healthcare provider located in CHARLOTTE, North Carolina. NPI 1205948981 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · CHARLOTTE, NC
Registration Details
- NPI Number
- 1205948981
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2006 (19.913771289736 yrs)
- Last Updated
- Dec 6, 2021
- Licenses
-
9700154 (NC)18527 (TN)ARNP 9219935 (FL)
Practice Information
- Address
-
1000 BLYTHE BLVDCHARLOTTE, NC, 282035812Browse NC providers · Browse ZIP 28203
- Phone
- 7043554772
- Fax
- 7043556227
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
- Additional Specialty
- Nurse Practitioner
- Additional Specialty
- Pediatric Nurse Practitioner
Other Pediatric Nurse Practitioner Providers in CHARLOTTE, NC
| Name | Credential | NPI |
|---|---|---|
| JAN RAPISARDO | PNP | 1063408664 |
| JUDITH H. GRUBBS | PNP | 1194787655 |
| TERRI J FORSYTH | NP | 1356382279 |
| MARYBETH HAYNES | NP | 1285658054 |
| DIANE E KRAYNAK | N.P. | 1467556886 |
| ANDRIA K KOKOSZKA | NP | 1225136120 |
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.