Individual provider · Type 1 NPI
Shannon Lee Moore, ARNP
Women's Health Nurse Practitioner · Puyallup, WA
NPI number
1417395385
Active
Practice location
11102 Sunrise Blvd E, Ste #110
Puyallup, WA 98374-8846
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | AP60386228 (WA) |
| Women's Health Nurse Practitioner Primary | 363LW0102X | AP60386228 (WA) |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | AP60386228 (WA) |
Women's Health Nurse Practitioner: Definition to come...
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Other women's health nurse practitioner providers in Puyallup
About NPI 1417395385
Shannon Lee Moore, ARNP's National Provider Identifier is 1417395385, issued on Jun 12, 2013. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Puyallup, WA. The record was last updated on Jun 12, 2013.