PAMELA M MOORE

URBANA, IL
NPI1881701308
Former NamePAMELA M YODER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: IL  209-006880)
Additional Taxonomies2086S0129X Surgery, Vascular Surgery
(Licence: AZ  RN81005)
Enumeration Date2006-08-23
Last Update Date2014-05-28
Business Address
-- PAMELA M MOORE NP
611 W. PARK ST. CARDIOLOGY
URBANA, IL 61801-2500
Phone number: 217-904-7000
Mailing Address
-- PAMELA M MOORE NP
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792