Individual provider · Type 1 NPI

Shannon Moody, RN

Registered Nurse · Covina, CA

NPI number 1720774342 Active

Practice location

1359 N Grand Ave
Covina, CA 91724-1016

Mailing address

10802 College Pl
Cerritos, CA 90703-1579

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X700135 (CA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1720774342

Shannon Moody, RN's National Provider Identifier is 1720774342, issued on Apr 17, 2023. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Covina, CA. The record was last updated on Apr 17, 2023.