MOONSTONE MEDICAL GROUP, PLLC
Organization (NPI-2)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1689044182- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 9320 NE VANCOUVER MALL DR SUITE 103, VANCOUVER, WA, 986628203
- Phone
- (360) 326-3171
- Fax
- (360) 326-3355
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: WA #AP30007234