Shannon L Moore, LPN is a
Licensed Practical Nurse based in Sedro-woolley, Washington. Shannon L Moore is licensed to practice in Washington (license number LP00054619) and her current practice location is
1235 3rd Street, Sedro-woolley, Washington. She can be reached at her office (for appointments etc.) via phone at
(360) 855-3510.
NPI number for Shannon L Moore is 1639414345 and her current mailing address is 1235 3rd Street, Sedro-woolley, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639414345.
Provider's Profile
| Full Name | Shannon L Moore |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 1235 3rd Street, Sedro-woolley, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1639414345
- Provider Enumeration Date: 12/06/2012
- Last Update Date: 12/06/2012
Medical Identifiers
Medical identifiers for Shannon L Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639414345 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | LP00054619 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon L Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shannon L Moore, LPN
1235 3rd Street,
Sedro-woolley, WA 98284
Ph: (360) 855-3510 | Shannon L Moore, LPN
1235 3rd Street,
Sedro-woolley, WA 98284
Ph: (360) 855-3510 |
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