Caitlin Miller Moore, is a
Clinical Nurse Specialist based in Mountain Brk, Alabama. Caitlin Miller Moore is licensed to practice in Alabama (license number 1-135915) and her current practice location is
2235 Peacock Ln, Mountain Brk, Alabama. She can be reached at her office (for appointments etc.) via phone at
(269) 207-7154.
NPI number for Caitlin Miller Moore is 1174271332 and her current mailing address is 2235 Peacock Ln, Mountain Brk, Alabama. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174271332.
Provider's Profile
| Full Name | Caitlin Miller Moore |
|---|
| Gender | Female |
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| Speciality | Clinical Nurse Specialist |
|---|
| Location | 2235 Peacock Ln, Mountain Brk, Alabama |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174271332
- Provider Enumeration Date: 03/16/2022
- Last Update Date: 03/16/2022
Medical Identifiers
Medical identifiers for Caitlin Miller Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174271332 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364S00000X | Clinical Nurse Specialist | 1-135915 (Alabama) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Caitlin Miller Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Caitlin Miller Moore,
2235 Peacock Ln,
Mountain Brk, AL 35223-1709
Ph: () - | Caitlin Miller Moore,
2235 Peacock Ln,
Mountain Brk, AL 35223-1709
Ph: (269) 207-7154 |
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