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Individual
DR. COLLEEN MARIE-KIESER MOORE
Active
Individual
DR. COLLEEN MARIE-KIESER MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
202208557NP-PP
OR
363L00000X
Nurse Practitioner
Primary
AP60919281
WA
363LA2200X
Adult Health Nurse Practitioner
AP60158260
WA
363LG0600X
Gerontology Nurse Practitioner
AP60919281
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
202208557NP-PP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP60919281
WA
363LP2300X
Primary Care Nurse Practitioner
AP60919281
WA
Other
Enumeration date
08/28/2018
Last updated
07/06/2026
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