MRS. CHRYSTAL G MOORE ARNP NPI 1417434747

NPI Information

NPI: 1417434747
Provider Name: MRS. CHRYSTAL G MOORE, ARNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
33480 13TH PL S
FEDERAL WAY, WA
ZIP 98003
Phone: (757) 323-9104
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MRS. Chrystal G Moore, ARNP is a psychiatric/mental health nurse practitioner in Federal Way, WA. MRS. Chrystal G Moore, ARNP NPI is 1417434747. 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:

33480 13TH PL S
FEDERAL WAY, WA
ZIP 98003-357
Phone: (757) 323-9104

The NPI 1417434747 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/19/2018 and was last updated on 1/23/2020.

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	163W00000X	Registered Nurse		RN60796385	WASHINGTON	No
2	363LA2200X	Nurse Practitioner	Adult Health	AP60870464	WASHINGTON	No
3	363LG0600X	Nurse Practitioner	Gerontology	AP60870464	WASHINGTON	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP60870464	WASHINGTON	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: 4/28/2024

NPI Synchronization or Removal

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