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

Edward Ryan Moore, RN, CRNP

Individual provider Registered Nurse · NPI 1700476405

Edward Ryan Moore, RN, CRNP is a Nurse Practitioner in Montgomery, Alabama. Qualified in 2020, 6 years ago. Practices with American Family Care, LLC, a 179-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
6
Licensed in
AL
In the registry since
2021
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

454 Taylor Rd
Montgomery, AL 36117-3563
Phone: (334) 613-9000
Fax: (334) 532-0056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1-163024 (AL)
Registered Nurse Taxonomy 163W00000X · Licence 1-163024 (AL)

Record details

NPI number1700476405
Entity typeIndividual (Type 1)
GenderMale
Credentials RN , CRNP
Sole proprietorNo
NPI enumeratedJanuary 26, 2021
Last updated in NPPESOctober 28, 2021
Certification dateOctober 28, 2021
Mailing address454 Saddlewood Dr, Pike Road, AL 36064-2736

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice American Family Care, Llc — 179 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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