Moore, Shawntel Marie

Moore, Shawntel Marie is an individual health care provider with primary practice located at 300 W Saint Mary Blvd , Lafayette LA 70506-4638. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Moore, Shawntel Marie can be contacted via phone (337) 233-6593.

Contact Information

Primary practice address
300 W Saint Mary Blvd Lafayette LA 70506-4638
Phone: (337) 233-6593
Fax: (337) 235-1032
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP07239 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP07239 Louisiana

Profile Details

NPI number 1053652644
LBN Legal business name Moore, Shawntel Marie
Credentials ARNP, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2013
Last updated Dec 19th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053652644 NPPES
Louisiana MEDICAID 2348175

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