Individual
MICHAEL ANTHONY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP61085291
WA
363LA2200X
Adult Health Nurse Practitioner
Primary
AP61085291
WA
363LP2300X
Primary Care Nurse Practitioner
5012227
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770132896
—
WA
Enumeration date
09/11/2019
Last updated
06/16/2022
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