Individual
MRS. CHRYSTAL G MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
33480 13TH PL S, FEDERAL WAY, WA 98003-6357
(757) 323-9104
Mailing address
1563 HEMLOCK DR, OAK HARBOR, WA 98277-3404
(757) 323-9104
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60796385
WA
363LA2200X
Adult Health Nurse Practitioner
AP60870464
WA
363LG0600X
Gerontology Nurse Practitioner
AP60870464
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60870464
WA
Other
Enumeration date
07/19/2018
Last updated
01/23/2020
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