Organization
MOORE FAMILY CLINICS, PLLC
Active
Other names
Moore Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNA MARIE MOORE MSN, APRN, FNP-C (CEO / PROVIDER)
(509) 275-8600
Entity
Organization
Contact information
Practice address
318 E ROWAN AVE STE 201, SPOKANE, WA 99207-1200
(509) 275-8600
Mailing address
PO BOX 530, COLBERT, WA 99005-0530
(509) 275-8600
(509) 275-2333
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144625
NATIONAL PROVIDER IDENTIFIER
—
Enumeration date
09/03/2024
Last updated
12/11/2024
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