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Ms. Donna Marie Lodge-moore, MSN,APRN,FNP-C
Family Nurse Practitioner in Everett, Washington
NPI 1154609295

Donna Marie Lodge-moore is a Family Nurse Practitioner based in Marrero, WA and is specialized in Family. Donna Marie Lodge-moore practices in Everett, WA and has the professional credentials of MSN,APRN,FNP-C. The NPI Number for Donna Marie Lodge-moore is 1154609295 and holds a License No. 526019 (Washington).

The current practice location address for Donna Marie Lodge-moore is 15 Sw Everett Mall Way Ste A, Everett, WA and can be reached out via phone at 504-352-2565.

Location: 15 Sw Everett Mall Way Ste A, Everett, WA, 70072-2646
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154609295
Provider Name
Donna Marie Lodge-moore
Credential
MSN,APRN,FNP-C
Provider Entity Type
Individual
Gender
Female
Address
15 Sw Everett Mall Way Ste A, Everett, WA, 70072-2646
Phone Number
504-352-2565
Fax Number
Provider Enumeration Date
07/22/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2305999 05 LA
institution
Provider Business Practice Location Address Details
Address
15 Sw Everett Mall Way Ste A
City
Everett
State
Washington
Zip
98204-2715
Phone Number
504-352-2565
Fax Number
person
Provider Business Mailing Address Details
Address
15 Sw Everett Mall Way Ste A
City
Everett
State
Washington
Zip
98204-2715
Phone Number
504-352-2565
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP06526 (Louisiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
526019 (New York)
Definition
Definition to come...
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