IndividualActive
Desaraye Moore, RN
NPI 1184436404 · Case Management Registered Nurse · Elizabeth, WV
Provider details
- NPI number
- 1184436404
- Entity type
- Individual
- Primary specialty
- Case Management Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 113065 (WV)
Specialties & taxonomies
Nursing Service Providers
Practice location
69 Maze Plz
Elizabeth, WV 26143-5127
Phone: (304) 598-6084
Approximate (ZIP-level) locationGet directions
Mailing address
186 Cofer St
Washington, WV 26181-8209
Registry dates
- Enumerated
- 2025-01-23
- Last updated
- 2025-01-23
- Certified
- 2025-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.