National Provider Identifier
Shannon Nicole Moore
Shannon Nicole Moore is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 922-9900.
Profile Overview
- NPI
- 1598434151
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- September 08, 2021
- Last Updated
- September 08, 2021
Practice Location
- 224 Alexander St
- Rochester, NY 14607-4000
Phone: (585) 922-9900
Mailing Address
- 1875 N Goodman St
- Irondequoit, NY 14609-1030
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1598434151
- Entity Type
- Individual
- Last Name
- Moore
- First Name
- Shannon
- Middle Name
- Nicole
- Mailing Street Address
- 1875 N Goodman St
- Mailing City
- Irondequoit
- Mailing State
- NY
- Mailing ZIP Code
- 14609-1030
- Mailing Country
- US
- Mailing Phone
- (585) 514-3014
- Practice Street Address
- 224 Alexander St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-4000
- Practice Country
- US
- Practice Phone
- (585) 922-9900
- Enumeration Date
- September 08, 2021
- Last Updated
- September 08, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 08, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)