Lookup NPI Numbers from the NPI Registry
NPI Profile for SHANNEN MOORE in BOSTON, MA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
363LP0200X | 50 | Nurse Practitioner | |
Nurse Anesthetist, Certified Registered |
367500000X | 43 | Certified Registered Nurse Anesthetist (CRNA) | |
Pediatrics |
163WP0200X |
| NPI Number | 1083092977 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 05/11/2015 | |
| Last updated | 01/27/2026 - About 4 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SHANNEN MOORE
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SHANNEN MOORE