IndividualActive
Denise Moore
NPI 1346705472 · Family Nurse Practitioner · Crestwood, KY
Provider details
- NPI number
- 1346705472
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3013070 (KY)
Mailing address
4102 Deer Run Rd
Crestwood, KY 40014-9227
Registry dates
- Enumerated
- 2019-02-03
- Last updated
- 2024-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.