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Kathryn Kolb Moon, MSN,FNP-BC
Family Nurse Practitioner in Coos Bay, Oregon
NPI 1508897778

Kathryn Kolb Moon is a Family Nurse Practitioner based in Coos Bay, OR and is specialized in Family. Kathryn Kolb Moon practices in Coos Bay, OR and has the professional credentials of MSN,FNP-BC. The NPI Number for Kathryn Kolb Moon is 1508897778 and holds a License No. 200442251RN (Oregon).

The current practice location address for Kathryn Kolb Moon is 1900 Woodland Dr, Coos Bay, OR and can be reached out via phone at 541-267-5151 and via fax at 541-266-4574.

Location: 1900 Woodland Dr, Coos Bay, OR, 97420-2045
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508897778
Provider Name
Kathryn Kolb Moon
Credential
MSN,FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1900 Woodland Dr, Coos Bay, OR, 97420-2045
Phone Number
541-267-5151
Fax Number
541-266-4574
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
292415 05 OR
R0000WFBTV 01 OR NORTH BEND MEDICAL CENTER GROUP MEDICARE
161133 01 OR NORTH BEND MEDICAL CENTER GROUP MEDICAID
93-0635514 01 OR NORTH BEND MEDICAL CENTER GROUP TAX ID
1407812365 01 OR NORTH BEND MEDICAL CENTER GROUP NPI
P01673840 01 OR PALMETTO GBA - RAILROAD
institution
Provider Business Practice Location Address Details
Address
1900 Woodland Dr
City
Coos Bay
State
Oregon
Zip
97420-2045
Phone Number
541-267-5151
Fax Number
541-266-4574
person
Provider Business Mailing Address Details
Address
1900 Woodland Dr
City
Coos Bay
State
Oregon
Zip
97420-2045
Phone Number
541-267-5151
Fax Number
541-266-4574
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
200450152NP (Oregon)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
200442251RN (Oregon)
Definition
Definition to come...
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