NPI Profile for SHAWNIEN MOORE in LOUISVILLE, KY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical-Surgical |
163WM0705X | |||
Critical Care Medicine |
163WC0200X | |||
Licensed Practical Nurse |
164W00000X | |||
Psychiatric/Mental Health |
163WP0808X | |||
Psychiatric/Mental Health, Adult |
163WP0809X | |||
Psychiatric/Mental Health, Child & Adolescent |
163WP0807X |
| NPI Number | 1275988826 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 05/02/2016 | |
| Last updated | 05/02/2016 - About 10 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SHAWNIEN MOORE
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