Organization
MOORE WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN MARIE-KIESER MOORE (AO)
(509) 903-8766
Entity
Organization
Contact information
Practice address
2121 E 62ND AVE, SPOKANE, WA 99223-6806
(509) 903-8766
(509) 931-0491
Mailing address
PO BOX 30001, SPOKANE, WA 99223-3000
(509) 903-8766
(509) 931-0491
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/01/2023
Last updated
07/06/2026
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