Muzzall-Moore, Maura Lee

Muzzall-Moore, Maura Lee is an individual health care provider with primary practice located at 529 Jasmine St , Omak WA 98841-9589. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Muzzall-Moore, Maura Lee can be contacted via phone (529) 826-1600.

Contact Information

Primary practice address
529 Jasmine St Omak WA 98841-9589
Phone: (529) 826-1600
Fax: (509) 826-3633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10000002975 Washington

Profile Details

NPI number 1730139320
LBN Legal business name Muzzall-Moore, Maura Lee
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730139320 NPPES
Washington Other 8931006 CRIME VICTIM COMPENSATION
Washington Other 5530MU CRIME VICTIM COMPENSATION
Washington MEDICAID 8371858 CRIME VICTIM COMPENSATION
Washington Other 0176649 CRIME VICTIM COMPENSATION

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