Shannen Moore
NPI #1083092977 in Boston, Massachusetts
Provider Information
- NPI Number
- 1083092977
- Entity Type
- Individual
- Name
- Shannen Moore
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Pediatrics
- Enumeration Date
- May 11, 2015
- Last Updated
- Jan 27, 2026
Practice Location
- Address
- 8 WATERMAN RD
- City
- Boston
- State
- Massachusetts
- ZIP Code
- 02131-2218
- Phone
- (857) 345-0003
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Pediatrics — Pediatrics |
| Nurse Anesthetist, Certified Registered |
| Nurse Practitioner - Pediatrics — Pediatrics |
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