| Brody Moore, LPN | |
|
3400 N Woods Ln, Rogers, AR 72756-6712 | |
| (479) 636-3190 | |
| Not Available |
| Full Name | Brody Moore |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 3400 N Woods Ln, Rogers, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487352654 | NPI | - | NPPES |
| 251C00000X | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | L055574 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brody Moore, LPN 3400 N Woods Ln, Rogers, AR 72756-6712 Ph: (479) 636-3190 | Brody Moore, LPN 3400 N Woods Ln, Rogers, AR 72756-6712 Ph: (479) 636-3190 |
Dana Renee Satchel, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 609 W Dyke Rd, Rogers, AR 72758 Phone: 479-927-3000 | |
Ashley Newell, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3307 N Dixieland Rd, Rogers, AR 72756 Phone: 479-986-5150 Fax: 479-986-5191 | |
Mrs. Tina Louise Patrick, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3307 N Dixieland Rd, Rogers, AR 72756 Phone: 479-986-5150 Fax: 479-986-5191 | |
Kellie Nicole Underwood, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3307 N Dixieland Rd, Rogers, AR 72756 Phone: 479-986-5150 Fax: 479-986-5191 | |
Mrs. Joyce Kathleen Deshields, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3400 N Woods Ln, Rogers, AR 72756 Phone: 479-636-3190 Fax: 479-636-4587 | |
Cynthia Gail Crawford, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1400 Hardwood Dr, Rogers, AR 72758 Phone: 870-480-7809 | |
Megan Michelle Bolin, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3307 N Dixieland Rd, Rogers, AR 72756 Phone: 479-986-5150 Fax: 479-986-5191 |