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Individual
SHAWNIEN MOORE
Active
Individual
SHAWNIEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
1110548
KY
163WM0705X
Medical-Surgical Registered Nurse
Primary
1110548
KY
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
1110548
KY
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
28180891A
IN
163WP0808X
Psychiatric/Mental Health Registered Nurse
1110548
KY
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
1110548
KY
164W00000X
Licensed Practical Nurse
2038613
KY
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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