person
Shannen Moore
Pediatric Nurse Practitioner in Boston, Massachusetts
NPI 1083092977

Shannen Moore is a Pediatric Nurse Practitioner based in Long Beach, MA and is specialized in Pediatrics. Shannen Moore practices in Boston, MA. The NPI Number for Shannen Moore is 1083092977 and holds a License No. 701502 (Massachusetts).

The current practice location address for Shannen Moore is 8 Waterman Rd, Boston, MA and can be reached out via phone at 857-345-0003. You can also correspond with Shannen Moore through the mailing address at 10 MONROE BLVD APT 6F, LONG BEACH, NY - 11561-4355 (mailing address contact number: 857-345-0003).

Location: 8 Waterman Rd, Boston, MA, 11561-4355
person
Provider Profile Details
NPI Number
1083092977
Provider Name
Shannen Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
8 Waterman Rd, Boston, MA, 11561-4355
Phone Number
857-345-0003
Fax Number
Provider Enumeration Date
05/11/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8 Waterman Rd
City
State
Zip
02131-2218
Phone Number
857-345-0003
Fax Number
person
Provider Business Mailing Address Details
Address
8 Waterman Rd
City
State
Zip
02131-2218
Phone Number
857-345-0003
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Pediatrics
Taxonomy
License No.
383018 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
701502 (New York)
Definition
Definition to come...
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