| Ms Tammy H Moore, ARNP | |
|
600 E. Main Street, Elma, WA 98541 | |
| (360) 495-3244 | |
| (360) 495-3364 |
| Full Name | Ms Tammy H Moore |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Primary Care |
| Location | 600 E. Main Street, Elma, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063440964 | NPI | - | NPPES |
| 9644014 | Other | WA | DSHS# |
| 1090710 | Medicaid | WA | |
| 0159113 | Other | WA | LABOR AND INDUSTRIES# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP30006758 (Washington) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | AP30006758 (Washington) | Primary |
| Entity Name | Grays Harbor County Public Hospital District No 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740211028 PECOS PAC ID: 9032017256 Enrollment ID: O20031226000146 |
| Entity Name | Public Hospital District No 4 King County Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902846546 PECOS PAC ID: 6002700861 Enrollment ID: O20040211001236 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Tammy H Moore, ARNP 600 E. Main Street, Elma, WA 98541 Ph: (360) 495-3244 | Ms Tammy H Moore, ARNP 600 E. Main Street, Elma, WA 98541 Ph: (360) 495-3244 |
Ms. Jo Ann Catherine Yost, RN ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 515 West Main St, Elma, WA 98541 Phone: 360-482-5298 Fax: 360-482-5157 | |
Joseph Hans Kohn, ARNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 E Main St, Elma, WA 98541 Phone: 360-346-2222 | |
Joseph Lewis Mcfadden, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 E Main St, Elma, WA 98541 Phone: 360-346-2222 | |
Brandee Lee Haskin, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 E Main St, Elma, WA 98541 Phone: 360-346-2222 | |
Mr. Joel Ronald Joseph Stewart, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 610 E Main St, Elma, WA 98541 Phone: 360-346-2222 | |
Jessica Renae Jurasin, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 E Main St, Elma, WA 98541 Phone: 360-346-2222 Fax: 360-346-2191 |