person
Ms. Tammy H. Moore, ARNP
Primary Care Nurse Practitioner in Elma, Washington
NPI 1063440964

Tammy H. Moore is a Primary Care Nurse Practitioner based in Elma, WA and is specialized in Primary Care. Tammy H. Moore practices in Elma, WA and has the professional credentials of ARNP. The NPI Number for Tammy H. Moore is 1063440964 and holds a License No. AP30006758 (Washington).

The current practice location address for Tammy H. Moore is 600 E. Main Street, Elma, WA and can be reached out via phone at 360-495-3244 and via fax at 360-495-3364.

Location: 600 E. Main Street, Elma, WA, 98541
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Provider Profile Details
NPI Number
1063440964
Provider Name
Tammy H. Moore
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
600 E. Main Street, Elma, WA, 98541
Phone Number
360-495-3244
Fax Number
360-495-3364
Provider Enumeration Date
06/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9644014 01 WA DSHS#
1090710 05 WA
0159113 01 WA LABOR AND INDUSTRIES#
institution
Provider Business Practice Location Address Details
Address
600 E. Main Street
City
State
Zip
98541
Phone Number
360-495-3244
Fax Number
360-495-3364
person
Provider Business Mailing Address Details
Address
600 E. Main Street
City
State
Zip
98541
Phone Number
360-495-3244
Fax Number
360-495-3364
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP30006758 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
AP30006758 (Washington)
Definition
Definition to come...
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