Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TINA MARIE MOORE
ActiveTINA MARIE MOORE is a Homemaker healthcare provider located in WATERLOO, Illinois. NPI 1679173967 is currently active in the NPPES registry. Verify at CMS.
Homemaker · WATERLOO, IL
Registration Details
- NPI Number
- 1679173967
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 27, 2020 (5.652352178628 yrs)
- Last Updated
- Oct 27, 2020
- Licenses
-
3000256 (IL)3000256 (IL)3000256 (IL)
Practice Information
- Address
-
347 COVINGTON DR STE AWATERLOO, IL, 622983287Browse IL providers · Browse ZIP 62298
- Phone
- 6182572200
- Fax
- 6182572205
- Primary Specialty
-
Homemaker
376J00000X
- Additional Specialty
- Adult Companion
- Additional Specialty
- Homemaker
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.