Mr. Nathaniel Maques Moore
Mr. Nathaniel Maques Moore is a Peer Specialist in Vinita, Oklahoma. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
405 E Excelsior AveVinita, OK 74301-4226
Phone: (918) 273-1841
Fax: (918) 273-1843
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1710733613 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 30, 2024 |
| Last updated in NPPES | June 2, 2026 |
| Certification date | June 2, 2026 |
| Mailing address | 705 S Virginia Ave, Bartlesville, OK 74003-4439 |
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Clifford Gene Myers Jr.
405 E Excelsior Ave, Vinita, OK 74301-4226 · (918) 273-1841