Melinda Moore
Nurse Practitioner
6332 Summerwood Dr E
Puyallup
, Washington 98373-5005
Melinda Moore
Nurse Practitioner
6332 Summerwood Dr E
Puyallup
, Washington 98373-5005
(253) 228-9674
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Melinda Moore
- 6332 Summerwood Dr E
- Puyallup, WA
- Zip : 98373-5005
- Phone : (253) 228-9674
Second Address
- Melinda Moore
- 6332 Summerwood Dr E
- Puyallup, WA
- Zip : 98373-5005
- Phone : (253) 228-9674
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP61041911 | WA |
National Provider Identifier
| NPI | 1003442419 |
|---|---|
| Provider Name | Melinda Moore |
| First Address | Puyallup, WA 98373-5005 |
| Second Address | Puyallup, WA 98373-5005 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/03/2020 |
| Last Update Date | 17/03/2020 |
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.