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Individual

SHAWN MICHAEL MOODY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
4800 FRIENDSHIP AVE, PITTSBURGH, PA 15224-1793
(412) 578-5000
Mailing address
118 PINE NUT DR, EIGHTY FOUR, PA 15330-2659
(724) 941-2157

Taxonomy

Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
SP020260
PA

Other

Enumeration date
06/12/2019
Last updated
06/12/2019
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