Individual
SHAWANA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APN-C
Contact information
Practice address
1144 LOCUST ST, PHILADELPHIA, PA 19107
(215) 351-5500
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
26NJ00368700
NJ
363LW0102X
Women's Health Nurse Practitioner
SP011936
PA
Other
Enumeration date
03/15/2012
Last updated
02/17/2021
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