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BRUCE MOBERG
NPI 1740879667
Licensed Practical Nurse in Lakewood, WA

Active since January 14, 2021
9720 S TACOMA WAY, LAKEWOOD, WA 98499(253) 503-3666 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bruce Moberg NPPES

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

BRUCE MOBERG (NPI 1740879667) is an individual licensed practical nurse in Lakewood, Washington, licensed in Washington (LP60105633) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1740879667
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameBRUCE MOBERG
Location Address9720 S TACOMA WAYLakewood, WA 98499-4456
Mailing Address15 Oregon Ave Ste 308Tacoma, WA 98409-7462 · (253) 304-7753
Phone(253) 503-3666
Sole ProprietorNo
Enumeration DateJanuary 14, 2021
NPPES CertifiedJanuary 14, 2021
✔ NPI 1740879667 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 · LP60105633
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.
9720 S TACOMA WAY, Lakewood, WA 98499
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Other Providers at the Same Location NPPES 20

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

FELICIA BLANKEN
Licensed Practical Nurse
9720 S TACOMA WAY
LAKEWOOD, WA 98499
Pierce County (253) 503-3666
AMANDA BARRIER
Licensed Practical Nurse
9720 S TACOMA WAY
LAKEWOOD, WA 98499
Pierce County (253) 503-3666
ANGELA BALLENSKY
Licensed Practical Nurse
9720 S TACOMA WAY
LAKEWOOD, WA 98499
Pierce County (253) 503-3666
ROCHELLE LORTZ
Counselor (Addiction (Substance Use Disorder))
9720 S TACOMA WAY
LAKEWOOD, WA 98499
Pierce County (253) 503-3666
ROBERT MICHAEL MATTA
Licensed Practical Nurse
9720 S TACOMA WAY
LAKEWOOD, WA 98499
Pierce County (253) 604-7422
IMAGINE BEHAVIORAL AND DEVELOPMENTAL SERVICES
Behavior Analyst
9720 S TACOMA WAY
TACOMA, WA 98499
Pierce County (253) 682-0320
ADRIENNE DEMLER
Licensed Practical Nurse
9720 S TACOMA WAY
LAKEWOOD, WA 98499
Pierce County (253) 503-3666
ALICE MARIE PARK
Registered Nurse
9720 S TACOMA WAY
LAKEWOOD, WA 98499
Pierce County (253) 503-3666

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 Bruce Moberg's NPI number?

The NPI number for Bruce Moberg is 1740879667. It was assigned to this individual provider in the NPPES registry on January 14, 2021.

Where is Bruce Moberg located?

Bruce Moberg practices at 9720 S Tacoma Way, Lakewood, WA 98499. The listed phone number is (253) 503-3666.

What is Bruce Moberg'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 Bruce Moberg was last updated on January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.