SHANDA MOORE


Address: 1 Brace Rd, Suite C, Cherry Hill, NJ 08034-2624
Phone: 8564284100

SHANDA MOORE (NPI# 1346505302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346505302
Entity Type Individual
Full Name SHANDA MOORE
Credential APN
Practice Address 1 Brace Rd
Suite C
Cherry Hill
NJ 08034-2624
Practice Telephone 8564284100
Practice Fax Number 8564285748
Mailing Telephone 8564284100
Mailing Fax Number 8564285748
Enumeration Date 2012-07-05
Last Update Date 2013-05-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health 		26NJ00385400 NJ Physician Assistants & Advanced Practice Nursing Providers

Other Providers SHANDA MOORE

NPI Name Taxonomy Address Enumeration
1407204373 Shanda Moore Registered Nurse 4301 Wilson St, Fort Sill, OK 73503-4472 2016-06-01

Office Location

Street Address 1 BRACE RD
SUITE C
City CHERRY HILL
State NJ
Zip Code 08034-2624

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679512883 Leigh Hopkins Orthopaedic Surgery 1 Brace Rd, Suite B, Cherry Hill, NJ 08034-2624 2006-06-05
1730649245 Nancy A Porowski Occupational Therapist 1 Brace Rd, Cherry Hill, NJ 08034-2600 2019-03-21
1114370640 Lourdes Medical Associates, Pa Psychiatry & Neurology 1 Brace Rd, Suite B, Cherry Hill, NJ 08034-2600 2016-07-20
1548638307 Lourdes Medical Associates, Pa Internal Medicine 1 Brace Rd, Suite B, Cherry Hill, NJ 08034-2600 2015-09-10
1225451404 Lourdes Urgent Care Services Clinic/Center 1 Brace Rd, Suite H, Cherry Hill, NJ 08034-2600 2014-01-24
1790040277 Lourdes Medical Associates, Pa Orthopaedic Surgery 1 Brace Rd, Suite B, Cherry Hill, NJ 08034-2600 2012-07-10
1356644553 Lourdes Medical Associates, P. A. Thoracic Surgery (Cardiothoracic Vascular Surgery) 1 Brace Rd, Suite C, Cherry Hill, NJ 08034-2600 2010-12-09
1992034037 Blaber Cardiology At Lourdes Medical Associates Internal Medicine 1 Brace Rd, Suite C, Cherry Hill, NJ 08034-2600 2009-12-21
1457599300 Rishi Dev Anand Internal Medicine 1 Brace Rd, Ste. B, Cherry Hill, NJ 08034-2600 2009-01-30
1336311661 Robert A Mohapatra Internal Medicine 1 Brace Rd, Suite C, Cherry Hill, NJ 08034-2600 2008-03-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821606054 Glickman Psychological Services, LLC Psychologist 80 Barclay Center, Suite 4, Cherry Hill, NJ 08034 2020-07-14
1215455225 Arc of Camden County Millhurst Supported Living Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 141 Hayes Mill Road, Apt 218, Cherry Hill, NJ 08034 2017-08-30
1144748120 Arc of Camden County Chanticleer Drive Supported Living Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 712 Chanticleer Drive, Cherry Hill, NJ 08034 2017-08-30
1124558689 1 Choice Home Health Care, LLC Home Health 1409 E. Highway 70, Barclay Pavilion, Suite 207w, Cherry Hill, NJ 08034 2017-06-18
1205362621 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 405 Wayland Rd, Cherry Hill, NJ 08034 2017-05-04
1598291940 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 19 Brookdale Dr, Cherry Hill, NJ 08034 2017-05-04
1861928285 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 302 Portsmouth Rd, Cherry Hill, NJ 08034 2017-05-04
1265967954 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8 Farmhouse Ln, Maple Shade, NJ 08034 2017-05-01
1023543709 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 407 Cranford Rd, Cherry Hill, NJ 08034 2017-05-01
1588199269 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 21 Colgate Drive, Cherry Hill, NJ 08034 2017-05-01
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417259797 Andrea M Aquilino Nurse Practitioner 2 Esterbrook Ln, Cherry Hill, NJ 08003-4002 2010-11-19
1679882740 Hermina Yvonne Waters Nurse Practitioner 1017 Abington Rd, Cherry Hill, NJ 08034-3903 2010-10-06
1619079761 Fran Rosenfeld Nurse Practitioner 100 Gainsboro Rd, Cherry Hill, NJ 08003-1521 2006-09-01
1508897240 Juvy M Montecalvo-acosta Nurse Practitioner 39 Brace Rd, Cherry Hill, NJ 08034-2624 2006-07-05
1902884794 Linda A Hurd Nurse Practitioner 1400 Route 70 East, Cherry Hill, NJ 08034-2240 2006-01-03
1912988957 Rebecca Hilgen Bryan Nurse Practitioner 511 Kings Hwy N, Cherry Hill, NJ 08034-1503 2005-11-08
1740802461 Laura Lyn Barrett Nurse Practitioner 27 Covered Bridge Rd, Cherry Hill, NJ 08034-2945 2020-05-15
1417445339 Gina Marie Mariani Nurse Practitioner 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 2018-04-26
1487195525 Josemari Lazaro Nurse Practitioner 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 2017-03-08
1174981187 Adrianne Ortega Nurse Practitioner 101 Barclay Pavilion W, Cherry Hill, NJ 08034-2139 2016-02-04
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Competitor

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City CHERRY HILL
Zip Code 08034

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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