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

Mr. Rodney Wayne Moore, RNBSNCPANCAPA

Individual provider Ambulatory Care Registered Nurse · NPI 1548593536

Mr. Rodney Wayne Moore, RNBSNCPANCAPA is an Ambulatory Care Registered Nurse in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Florida, Georgia and Missouri.

Licensed in
FL, GA, MO
In the registry since
2009
Specialties on file
3

Practice location Address checks out

1078 Fontaine Pl
Saint Louis, MO 63137-1705
Phone: (404) 918-0461
Fax: (314) 868-6605
Show map & directions

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

Specialties & licences

Ambulatory Care Registered Nurse (primary) Taxonomy 163WP2201X · Licence 082489 (MO)
Ambulatory Care Registered Nurse Taxonomy 163WP2201X · Licence RN084407 (GA)
Ambulatory Care Registered Nurse Taxonomy 163WP2201X · Licence RN9272235 (FL)

Record details

NPI number1548593536
Entity typeIndividual (Type 1)
GenderMale
Credentials RNBSNCPANCAPA
Sole proprietorYes
NPI enumeratedSeptember 9, 2009
Last updated in NPPESSeptember 9, 2009

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