Individual
SHANNA MARIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, FNP-C
Contact information
Practice address
318 E ROWAN AVE STE 201, SPOKANE, WA 99207-1200
(509) 275-8600
(509) 275-2333
Mailing address
17908 N SADDLE HILL RD, COLBERT, WA 99005-9347
(509) 890-3901
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
10001135
OR
363LF0000X
Family Nurse Practitioner
59453
ID
363LF0000X
Family Nurse Practitioner
AP126728
TX
363LF0000X
Family Nurse Practitioner
Primary
AP60889399
WA
363LF0000X
Family Nurse Practitioner
APRN-131649
MT
Other
Enumeration date
10/28/2014
Last updated
04/28/2025
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