SHANNEN MOORE NPI 1083092977

NPI Information

NPI: 1083092977
Provider Name: SHANNEN MOORE
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
8 WATERMAN RD
BOSTON, MA
ZIP 02131
Phone: (857) 345-0003
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Shannen Moore is a pediatrics nurse practitioner in Boston, MA. Shannen Moore NPI is 1083092977. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8 WATERMAN RD
BOSTON, MA
ZIP 02131-218
Phone: (857) 345-0003

The enumeration date for this NPI number is 5/11/2015 and was last updated on 2/4/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0200X	Registered Nurse	Pediatrics	701502	NEW YORK	No
2	363LP0200X	Nurse Practitioner	Pediatrics	383018	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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