| Doctor Name: | CHRISTA HEIDI MOORE |
| NPI Number: | 1063438026 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ADN,BSN,MSN |
| License Number: | AP30004509 |
| Business Practice Address: | 888 Swift Blvd Richland, WA - 993523514 |
| Business Phone Number: | 5099422630 |
| Business Fax Number: | 5099422007 |
| Mailing Address: | 888 Swift Blvd, RICHLAND |
| State: | WA |
| Postal Code: | 993523514 |
| Phone Number: | 5099422630 |
| Fax Number: | 5099422007 |
| NPI Enumeration Date: | 07/14/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP30004509 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |