Moore, Shannon Lee

Moore, Shannon Lee is an individual health care provider with primary practice located at 11102 Sunrise Blvd E Ste #110, Puyallup WA 98374-8846. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Moore, Shannon Lee can be contacted via phone (253) 697-7350.

Contact Information

Primary practice address
11102 Sunrise Blvd E Ste #110 Puyallup WA 98374-8846
Phone: (253) 697-7350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP60386228 Washington
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X AP60386228 Washington
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X AP60386228 Washington

Profile Details

NPI number 1417395385
LBN Legal business name Moore, Shannon Lee
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2013
Last updated Jun 12th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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