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Search › Wisconsin › 363L00000X

Shannon Carmona Moses, N.P

NPI 1932485489 · on the registry since 2011 · sole proprietor

Practice

Address
4855 S Moorland Rd Fl 3
New Berlin, WI 53151
Phone
(262) 432-7599
Fax
(262) 432-7694
Organisation at this address
Children'S Medical Group
Children'S Medical Group
Children'S Health System
Children'S Health System
Wauwatosa Prescription Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
118

Additional practice sites

  • 611 W National Ave, Milwaukee, WI
  • 611 W National Ave, Milwaukee, WI
  • 1284 N Summit Ave, Oconomowoc, WI

Registry record

Primary taxonomy
363L00000X
363L00000X
Also registered as
363LA2200X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-06-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin