Organization · Type 2 NPI
Moonstone Medical Group, PLLC
Family Nurse Practitioner · Vancouver, WA
NPI number
1689044182
Active
Practice location
9320 NE Vancouver Mall Dr, Suite 103
Vancouver, WA 98662-8203
Fax (360) 326-3355
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP30007234 (WA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1689044182
Moonstone Medical Group, PLLC's National Provider Identifier is 1689044182, issued on Sep 28, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Vancouver, WA. The record was last updated on Dec 17, 2015.