Individual
MS. STEPHANIE KAY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
801 E WHEELER RD, MOSES LAKE, WA 98837-1820
(509) 765-5606
Mailing address
2655 NORTHWINDS PKWY, ALPHARETTA, GA 30009-2280
(770) 643-5619
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60334148
WA
Other
Enumeration date
12/04/2012
Last updated
02/11/2013
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