Dr. Talitha Moon
General Practice Physician
9040 Jackson Ave
Tacoma
, Washington 98431-5641
Dr. Talitha Moon
General Practice Physician
9040 Jackson Ave
Tacoma
, Washington 98431-5641
(253) 968-0384
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Talitha Moon
- 9040 Jackson Ave
- Tacoma, WA
- Zip : 98431-0001
- Fax : (253) 968-0384
- Phone : (253) 968-2252
Second Address
- Dr. Talitha Moon
- 9040 Jackson Ave
- Tacoma, WA
- Zip : 98431-5641
- Fax : (253) 968-0384
- Phone : (253) 968-3066
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FAQs
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Is Dr. Talitha Moon a sole practitioner?
Is Dr. Talitha Moon accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208D00000X | General Practice Physician | 1627 | NE |
National Provider Identifier
| NPI | 1003208034 |
|---|---|
| Provider Name | Dr. Talitha Moon |
| First Address | Tacoma, WA 98431-0001 |
| Second Address | Tacoma, WA 98431-5641 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/02/2015 |
| Last Update Date | 13/07/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1627 | NEBRASKA MEDICAL LICENSE (01) | NE |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.