Moon, Sean

Moon, Sean is an individual health care provider with primary practice located at 1520 Kelly Pl Ste 234 , Walla Walla WA 99362-8607. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Moon, Sean can be contacted via phone (509) 575-4084.

Contact Information

Primary practice address
1520 Kelly Pl Ste 234 Walla Walla WA 99362-8607
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN61058757 Washington
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP70039106 Washington

Profile Details

NPI number 1528678851
LBN Legal business name Moon, Sean
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2020
Last updated Apr 29th, 2026 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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