Provider Demographics
NPI:1215397229
Name:MOORE, BRITT E (REGISTERED NURSE)
Entity type:Individual
Prefix:MRS
First Name:BRITT
Middle Name:E
Last Name:MOORE
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 WHITEHALL RD
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12209-1425
Mailing Address - Country:US
Mailing Address - Phone:518-312-0430
Mailing Address - Fax:
Practice Address - Street 1:349 OSBORNE RD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12211-1652
Practice Address - Country:US
Practice Address - Phone:518-434-1960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-03
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY655505163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool