Search › Alaska › 367500000X
Jonathan Moore, CRNA
NPI 1134842172 · on the registry since 2022 · sole proprietor
Practice
- Address
- 4315 Diplomacy Dr
Anchorage, AK 99508 - Phone
- (907) 563-2662
- Organisation at this address
- Southcentral Foundation
Southcentral Foundation
Southcentral Foundation
Alaska Native Medical Center
Alaska Native Medical Center PharmacyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 370
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 163W00000X
163W00000X - Licence states on file
- AK, OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-10-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska