SHANTRAE MOORE NPI 1992258131

NPI Information

Shantrae Moore is a family nurse practitioner in Conroe, TX with 8 years of experience. Shantrae Moore NPI is 1992258131. 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:

1414 S FRAZIER ST STE 105
CONROE, TX
ZIP 77301-475
Phone: (936) 441-2440
Fax: (800) 249-5020

The NPI 1992258131 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 7/24/2016 and was last updated on 3/28/2018.

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:

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