Individual
KELSEY GRACE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ARNP, FNP-C
Contact information
Practice address
33501 1ST WAY S, FEDERAL WAY, WA 98003-6208
(253) 838-2400
Mailing address
33501 1ST WAY S, FEDERAL WAY, WA 98003-6208
(253) 838-2400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60801877
WA
363LF0000X
Family Nurse Practitioner
AP60801877
WA
363LF0000X
Family Nurse Practitioner
NUR-APRN-LIC-214565
MT
Other
Enumeration date
10/20/2017
Last updated
02/19/2024
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