Individual
MS. PATRICIA ANN KEITH MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2103 NE 272ND AVE, CAMAS, WA 98607-9749
(360) 852-5783
(360) 834-4403
Mailing address
2103 NE 272ND AVE, CAMAS, WA 98607-9749
(360) 852-5783
(360) 834-4403
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
201508595NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
AP30000304
WA
Other
Enumeration date
09/05/2008
Last updated
03/23/2016
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