Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Moore

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1396574430

Andrew Moore is a Student in an Organized Health Care Education/Training Program in Fayetteville, Arkansas. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

3 E Appleby Rd Ste 302
Fayetteville, AR 72703-3160
Phone: (479) 404-1401
Fax: (479) 404-1401
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1396574430
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 29, 2024
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025

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