| Melinda Moore, ARNP | |
|
6332 Summerwood Dr E, Puyallup, WA 98373-5005 | |
| (253) 228-9674 | |
| Not Available |
| Full Name | Melinda Moore |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 6332 Summerwood Dr E, Puyallup, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003442419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | AP61041911 (Washington) | Primary |
| Entity Name | Multicare Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Entity Name | Franciscan Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789 |
| Entity Name | Synthesis Medical, Ps |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285222182 PECOS PAC ID: 9436550456 Enrollment ID: O20210730001948 |
| Mailing Address | Practice Location Address |
|---|---|
| Melinda Moore, ARNP 6332 Summerwood Dr E, Puyallup, WA 98373-5005 Ph: (253) 228-9674 | Melinda Moore, ARNP 6332 Summerwood Dr E, Puyallup, WA 98373-5005 Ph: (253) 228-9674 |
Oscar Herrera, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 15th Ave Se, Puyallup, WA 98372 Phone: 253-697-8610 | |
Corene Kimberly Irvin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15508 80th Avenue Ct E, Puyallup, WA 98375 Phone: 785-630-0608 | |
Dr. Timothy C Wical Jr., BSN, DNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15406 Meridian E, Puyallup, WA 98375 Phone: 253-509-1777 Fax: 949-577-4515 | |
Jennifer D Anderson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 118 7th Ave Sw, Puyallup, WA 98371 Phone: 253-579-0067 | |
Christopher Charles Cramer, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1450 5th St Se Ste 4200, Puyallup, WA 98372 Phone: 253-697-3450 | |
Mackenzie Annette Schumann, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1703 S Meridian Ste 101, Puyallup, WA 98371 Phone: 253-848-3000 Fax: 253-447-1641 |