Moonstone Medical Group, Pllc
NPI #1689044182 in Vancouver, Washington
Provider Information
- NPI Number
- 1689044182
- Entity Type
- Organization
- Organization Name
- Moonstone Medical Group, Pllc
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Sep 28, 2015
- Last Updated
- Dec 17, 2015
Practice Location
- Address
- 9320 NE VANCOUVER MALL DR
- Address 2
- SUITE 103
- City
- Vancouver
- State
- Washington
- ZIP Code
- 98662-8203
- Phone
- (360) 326-3171
Authorized Official
- Name
- MS. SHELLY LAFRANCE, MN, FNP-BC
- Title
- NURSE PRACTITIONER
- Phone
- (360) 326-3171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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