Individual provider · Type 1 NPI

Shannon Nicole Moore

Student in an Organized Health Care Education/Training Program · Rochester, NY

NPI number 1598434151 Active

Practice location

224 Alexander St
Rochester, NY 14607-4000

Call (585) 922-9900 Map

Mailing address

1875 N Goodman St
Irondequoit, NY 14609-1030

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1598434151

Shannon Nicole Moore's National Provider Identifier is 1598434151, issued on Sep 8, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rochester, NY. The record was last updated on Sep 8, 2021.