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SHANNON L MOORE LPN
NPI 1639414345
Licensed Practical Nurse in Sedro-woolley, WA

Active since December 06, 2012
1235 3RD STREET, SEDRO-WOOLLEY, WA 98284(360) 855-3510 Get Directions Write a Review

NPPES record last updated: December 6, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon L Moore Lpn NPPES

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

SHANNON L MOORE LPN (NPI 1639414345) is an individual licensed practical nurse in Sedro-woolley, Washington, licensed in Washington (LP00054619) and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1639414345
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSHANNON L MOORECredential: LPN
Location Address1235 3RD STREETSedro-woolley, WA 98284
Mailing Address1235 3rd StreetSedro-woolley, WA 98284 · (360) 855-3510
Phone(360) 855-3510
Sole ProprietorNo
Enumeration DateDecember 6, 2012
✔ NPI 1639414345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in WA · LP00054619
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1235 3RD STREET, Sedro-woolley, WA 98284
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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 Shannon Moore's NPI number?

The NPI number for Shannon Moore is 1639414345. It was assigned to this individual provider in the NPPES registry on December 6, 2012.

Where is Shannon Moore located?

Shannon Moore practices at 1235 3rd Street, Sedro-Woolley, WA 98284. The listed phone number is (360) 855-3510.

What is Shannon Moore's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Shannon Moore was last updated on December 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.