Individual
MISS STEPHANIE A MOORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP, BC
Contact information
Practice address
1851 CENTRAL PL S, SUITE 123, KENT, WA 98030-7514
(509) 981-3180
(206) 721-3063
Mailing address
26117 124TH PL SE, KENT, WA 98030-7974
(509) 981-3180
(425) 313-2817
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP30006104
WA
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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