SHARON MOORE
NPI 1457338568
Nurse Practitioner - Women's Health in Prior Lake, MN

Active since December 29, 2005
4670 PARK NICOLLET AVE SE, PRIOR LAKE, MN 55372(952) 993-7750 Get Directions Write a Review

NPPES record last updated: March 31, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sharon Moore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHARON MOORE (NPI 1457338568) is an individual women's health provider in Prior Lake, Minnesota, licensed in Minnesota (R0679525) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1457338568
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameSHARON MOORE
Location Address4670 PARK NICOLLET AVE SEPrior Lake, MN 55372-3908
Mailing Address6465 Wayzata Blvd, Suite 315Minneapolis, MN 55426-1728
Sole ProprietorNo
Enumeration DateDecember 29, 2005
Last NPPES UpdateMarch 31, 2015
NPI 1457338568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in MN · R0679525
4670 PARK NICOLLET AVE SE, Prior Lake, MN 55372

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
4670 PARK NICOLLET AVE SE
PRIOR LAKE, MN 55372
Family Medicine
4670 PARK NICOLLET AVE SE
PRIOR LAKE, MN 55372
Physician Assistant
4670 PARK NICOLLET AVE SE
PRIOR LAKE, MN 55372
Physical Therapist
4670 PARK NICOLLET AVE SE
PRIOR LAKE, MN 55372
Pediatrics
4670 PARK NICOLLET AVE SE
PRIOR LAKE, MN 55372
Family Medicine (Geriatric Medicine)
4670 PARK NICOLLET AVE SE
PRIOR LAKE, MN 55372
Dentist (Orthodontics and Dentofacial Orthopedics)
4670 PARK NICOLLET AVE SE
PRIOR LAKE, MN 55372
Physical Therapist
4670 PARK NICOLLET AVE SE
PRIOR LAKE, MN 55372

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sharon Moore's NPI number?

The NPI number for Sharon Moore is 1457338568. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is Sharon Moore located?

Sharon Moore practices at 4670 Park Nicollet Ave SE, Prior Lake, MN 55372. The listed phone number is (952) 993-7750.

What is Sharon Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Sharon Moore was last updated on March 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.