IndividualActive
Sue Moore, MS RN CNS
NPI 1619094182 · Gerontology Clinical Nurse Specialist · Columbus, OH
Provider details
- NPI number
- 1619094182
- Entity type
- Individual
- Primary specialty
- Gerontology Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MS RN CNS
- Sex
- Female
- Sole proprietor
- Yes
- License
- NS 05125 (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
270 S Grant Ave
Columbus, OH 43215-5334
Phone: (614) 221-3141
Fax: (614) 221-4870
Approximate (ZIP-level) locationGet directions
Mailing address
270 S Grant Ave
Columbus, OH 43215-5334
Registry dates
- Enumerated
- 2007-03-22
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.