MS. MAURA LEE MUZZALL-MOORE PAC NPI 1730139320

NPI Information

NPI: 1730139320
Provider Name: MS. MAURA LEE MUZZALL-MOORE, PAC
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
529 JASMINE ST
OMAK, WA
ZIP 98841
Phone: (529) 826-1600
Get Directions

MS. Maura Lee Muzzall-moore, PAC is a medical physician assistant in Omak, WA. MS. Maura Lee Muzzall-moore, PAC NPI is 1730139320. 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:

529 JASMINE ST
OMAK, WA
ZIP 98841-589
Phone: (529) 826-1600
Fax: (509) 826-3633

The enumeration date for this NPI number is 5/12/2006 and was last updated on 7/8/2007.

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	363AM0700X	Physician Assistant	Medical	PA10000002975	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8931006	OTHER	WASHINGTON	CRIME VICTIM COMPENSATION
2	5530MU	OTHER	WASHINGTON	ASURIS INSURANCE CO,
3	AB40323	MEDICARE ID-TYPE UNSPECIFIED
4	0176649	OTHER	WASHINGTON	WORKERS COMPENSATION
5	R31452	MEDICARE UPIN
6	8371858	MEDICAID	WASHINGTON

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »