Individual
MS. TAMMY H. MOORE
Active
Individual
MS. TAMMY H. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP30006758
WA
363LP2300X
Primary Care Nurse Practitioner
Primary
AP30006758
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0159113
LABOR AND INDUSTRIES#
WA
05
—
1090710
—
WA
01
—
9644014
DSHS#
WA
Enumeration date
06/29/2006
Last updated
03/07/2023
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