Moore, Shannen

Moore, Shannen is an sole proprietor health care provider with primary practice located at 8 Waterman Rd , Boston MA 02131-2218. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Moore, Shannen can be contacted via phone (857) 345-0003.

Contact Information

Primary practice address
8 Waterman Rd Boston MA 02131-2218
Phone: (857) 345-0003
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 701502 New York
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 383018 New York

Profile Details

NPI number 1083092977
LBN Legal business name Moore, Shannen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2015
Last updated Feb 4th, 2020 - about 6 years 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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