Individual
PHEDRA C MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 W 8TH AVE STE 122C, SPOKANE, WA 99204-2302
(509) 474-2894
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60884563
WA
Other
Enumeration date
07/25/2018
Last updated
05/25/2021
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