Search › Illinois › 363LP0200X
Shaunte Moore, CPNP-PC
NPI 1558898510 · on the registry since 2017
Practice
- Address
- 604 Pierce Blvd
O Fallon, IL 62269 - Phone
- (618) 222-9244
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363LP0200X
363LP0200X
- Also registered as
- 363LP0200X
- Licence states on file
- MO, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-05-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois