Provider Demographics
NPI:1841932670
Name:LIZ MOORE PSYCHIATRIC NURSING INC
Entity type:Organization
Organization Name:LIZ MOORE PSYCHIATRIC NURSING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP AND OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ANDREA
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:415-407-0748
Mailing Address - Street 1:870 MARKET ST STE 967
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-2912
Mailing Address - Country:US
Mailing Address - Phone:415-407-0748
Mailing Address - Fax:
Practice Address - Street 1:870 MARKET ST STE 967
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-2912
Practice Address - Country:US
Practice Address - Phone:415-407-0748
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-12
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health