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Moonstone Medical Group, Pllc
Family Nurse Practitioner in Vancouver, Washington
NPI 1689044182

Moonstone Medical Group, Pllc is a Family Nurse Practitioner based in Vancouver, WA and is specialized in Family. Moonstone Medical Group, Pllc practices in Vancouver, WA. The NPI Number for Moonstone Medical Group, Pllc is 1689044182 and holds a License No. AP30007234 (Washington).

The current practice location address for Moonstone Medical Group, Pllc is 9320 Ne Vancouver Mall Dr, Vancouver, WA and can be reached out via phone at 360-326-3171 and via fax at 360-326-3355.

Location: 9320 Ne Vancouver Mall Dr, Vancouver, WA, 98662-8203
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Provider Profile Details
NPI Number
1689044182
Provider Name
Moonstone Medical Group, Pllc
Credential
Provider Entity Type
Organization
Address
9320 Ne Vancouver Mall Dr, Vancouver, WA, 98662-8203
Phone Number
360-326-3171
Fax Number
360-326-3355
Provider Enumeration Date
09/28/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9652660 05 WA
institution
Provider Business Practice Location Address Details
Address
9320 Ne Vancouver Mall Dr
City
State
Zip
98662-8203
Phone Number
360-326-3171
Fax Number
360-326-3355
person
Provider Business Mailing Address Details
Address
9320 Ne Vancouver Mall Dr
City
State
Zip
98662-8203
Phone Number
360-326-3171
Fax Number
360-326-3355
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP30007234 (Washington)
Definition
Definition to come...
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