Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHEFANIE RAYCHEL MOORE
Active Sole ProprietorMRS. SHEFANIE RAYCHEL MOORE is a Preferred Provider Organization healthcare provider located in SHREVEPORT, Louisiana. NPI 1144892381 is currently active in the NPPES registry. Verify at CMS.
Preferred Provider Organization · SHREVEPORT, LA
Registration Details
- NPI Number
- 1144892381
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 16, 2021 (5.1026240039144 yrs)
- Last Updated
- Aug 12, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
2300 GREENWOOD RDATTN: RECOVERY AUDITSHREVEPORT, LA, 71103Browse LA providers · Browse ZIP 71103
- Phone
- 3182122695
- Fax
- 3182122689
- Primary Specialty
-
Preferred Provider Organization
305R00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.