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

DEANA GAY MOORE

Active Sole Proprietor

Child & Adolescent Psychiatric Nurse · BLOOMINGTON, IL

Registration Details

NPI Number
1225276645
Provider Type
Individual
Gender
Female
NPI Issued
Jan 22, 2009 (17.284846134302 yrs)
Last Updated
Jan 22, 2009
License
041269898 (IL)
Sole Proprietor
Yes

Practice Information

Address
108 W MARKET ST
BLOOMINGTON, IL, 617013918
Browse IL providers · Browse ZIP 61701
Phone
3098275351
Primary Specialty
Child & Adolescent Psychiatric Nurse
163WP0808X

Other Child & Adolescent Psychiatric Nurse Providers in BLOOMINGTON, IL

Name Credential NPI
JOANNE LILLIAN MECHERLE 1013010826
SARAH J KNIGHT 1538250972
REBECCA W CHERRY 1578656401
MARY E ANDRIS 1710074414
KIMBERLEY ROBERTS RN 1346509288
ERIN DAWN ASTROTH 1891043758
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.