Individual
MS. ANDREA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1112 6TH AVE STE 205, TACOMA, WA 98405-4048
(253) 792-6680
(253) 403-2915
Mailing address
PO BOX 5299, MS: 820-5-PCO, TACOMA, WA 98415-0299
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
437636
CA
363LF0000X
Family Nurse Practitioner
Primary
AP60325060
WA
Other
Enumeration date
03/08/2006
Last updated
03/26/2026
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