Shane Moore
Family NP · Waco, TX
UnclaimedNPI 1417426529
- Primary taxonomy
- 363LF0000X
- Enumerated
- 2018-11-19
- Practice location
- Waco, TX
- Last NPPES update
- 2020-10-14
State licenses
- TX · Nurse practitioner · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.