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MS. SUSAN MOORE RN
NPI 1174770853
Nurse Practitioner - Neonatal, Critical Care in Flagstaff, AZ

Active since August 25, 2008
1200 N BEAVER ST, FLAGSTAFF, AZ 86001(928) 779-3366 Get Directions Write a Review

NPPES record last updated: November 19, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Susan Moore Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SUSAN MOORE RN (NPI 1174770853) is an individual neonatal, critical care provider in Flagstaff, Arizona, licensed in Arizona (RN089230) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1174770853
Entity TypeIndividualFemale
Primary Taxonomy363LN0005X
Provider Legal NameMS. SUSAN MOORECredential: RN
Location Address1200 N BEAVER STFlagstaff, AZ 86001-3118
Mailing Address1200 N Beaver StFlagstaff, AZ 86001-3118 · (928) 779-3366
Phone(928) 779-3366
Sole ProprietorYes
Enumeration DateAugust 25, 2008
Last NPPES UpdateNovember 19, 2009
✔ NPI 1174770853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0005X
License✔ Licensed in AZ · RN089230
1200 N BEAVER ST, Flagstaff, AZ 86001
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEREMY NIELSEN M.D.
Anesthesiology
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (928) 779-3366
DR. SEAN DANIEL WOODS M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2112
ELIZABETH GILMORE CRNA
Nurse Anesthetist, Certified Registered
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (928) 779-3366
TANYA LEE MORGAN TWEED RDN
Dietitian, Registered
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2441
THOMAS MATTHEW REEVE MD
Emergency Medicine
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (210) 464-7442
MS. SUSAN POMEROY BASSETT M.S.
Audiologist
1200 N BEAVER ST, AUDIOLOGY DEPARTMENT
FLAGSTAFF, AZ 86001
Coconino County (928) 214-3728
DR. ALI I RAJA MD, MSC
Neurological Surgery
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (928) 779-3366
LEAH MARIE COFFMAN PAUL CRNA
Nurse Anesthetist, Certified Registered
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (928) 779-3366

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Moore's NPI number?

The NPI number for Susan Moore is 1174770853. It was assigned to this individual provider in the NPPES registry on August 25, 2008.

Where is Susan Moore located?

Susan Moore practices at 1200 N Beaver St, Flagstaff, AZ 86001. The listed phone number is (928) 779-3366.

What is Susan Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.

When was this NPI record last updated?

The NPPES record for Susan Moore was last updated on November 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.