Phedra C Moran
NPI #1538646252 in Spokane, Washington
Provider Information
- NPI Number
- 1538646252
- Entity Type
- Individual
- Name
- Phedra C Moran
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jul 25, 2018
- Last Updated
- May 25, 2021
Practice Location
- Address
- 105 W 8TH AVE STE 122C
- City
- Spokane
- State
- Washington
- ZIP Code
- 99204-2302
- Phone
- (509) 474-2894
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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