Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANNE MARIE MOORE
ActiveANNE MARIE MOORE is a Sports Medicine healthcare provider located in ST LOUIS PARK, Minnesota. NPI 1770550188 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · ST LOUIS PARK, MN
Registration Details
- NPI Number
- 1770550188
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 3, 2006 (20.491648066242 yrs)
- Last Updated
- Jun 13, 2023
- Licenses
-
46800 (MN)46800 (MN)
Practice Information
- Address
-
6600 EXCELSIOR BLVDSUITE 160ST LOUIS PARK, MN, 554264744Browse MN providers · Browse ZIP 55426
- Phone
- 9529937700
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
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.