Individual
MS. WENDI ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2901 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4614
(253) 534-7623
(253) 534-7610
Mailing address
2959 SE MILE HILL DR APT D2, PORT ORCHARD, WA 98366-6200
(503) 819-6241
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN60302578
WA
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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