Individual provider · Type 1 NPI

Kerry Shumanski Moose, NP

Nurse Practitioner · Washington, DC

NPI number 1366748931 Active

Practice location

3800 Reservoir Rd NW
Washington, DC 20007-2113

Call (202) 444-6161 Map

Fax (202) 444-5391

Mailing address

PO Box 418283
Boston, MA 02241-8283

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN59388 (DC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1366748931

Kerry Shumanski Moose, NP's National Provider Identifier is 1366748931, issued on Jan 31, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Washington, DC. The record was last updated on Mar 14, 2012.