Shanna Marie Moore, MSN, RN, FNP-C | |
17930 International Blvd Ste 1000, Seatac, WA 98188-4244 | |
(888) 445-8745 | |
Not Available |
Full Name | Shanna Marie Moore |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 17930 International Blvd Ste 1000, Seatac, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144625542 | NPI | - | NPPES |
Entity Name | Molina Care Connections Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407243223 PECOS PAC ID: 5799062881 Enrollment ID: O20180517000247 |
Entity Name | Community Care Health Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20231012002128 |
Mailing Address | Practice Location Address |
---|---|
Shanna Marie Moore, MSN, RN, FNP-C 17908 N Saddle Hill Rd, Colbert, WA 99005-9347 Ph: (432) 212-7734 | Shanna Marie Moore, MSN, RN, FNP-C 17930 International Blvd Ste 1000, Seatac, WA 98188-4244 Ph: (888) 445-8745 |
Mr. Dean Pedersen, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2425 S 200th St, Seatac, WA 98198 Phone: 206-870-5700 Fax: 206-870-5735 | |
Amanda Marie Johnson, ARNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17930 International Blvd, Seatac, WA 98188 Phone: 509-792-0559 | |
Katryna Mccoy, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1404 S 204th St, Seatac, WA 98198 Phone: 907-543-6300 | |
Debra Jean Beckman, B.S.N., A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17303 Military Rd S, Seatac, WA 98188 Phone: 206-431-9766 |