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

MARDIE MOORE

Active

MARDIE MOORE is a Community Health Worker healthcare provider located in OAKLAND, California. NPI 1487317640 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · OAKLAND, CA

Registration Details

NPI Number
1487317640
Provider Type
Individual
Gender
Female
NPI Issued
Oct 14, 2021 (4.7908062261414 yrs)
Last Updated
May 15, 2023
License
101YMO800X (CA)

Practice Information

Address
930 66TH AVE APT 208
OAKLAND, CA, 946213183
Browse CA providers · Browse ZIP 94621
Phone
5108283737
Primary Specialty
Community Health Worker
172V00000X
Additional Specialty
Community Health Worker

Other Community Health Worker Providers in OAKLAND, CA

Name Credential NPI
JOSEPH WHITCOMB 1457425712
PHOMMASONE PAM GRIFFITH 1205961679
MR. DARVALE LAVON JACKSON 1982722419
COURTNEY JOHNSON 1518169267
PATRICIA SISSON 1033392030
CYNTHIA VICTORIA GOMEZ OTR/L 1790960573
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.