| Doctor Name: | MS. SHANNON MARY MOLDEN |
| NPI Number: | 1134560816 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R. N |
| License Number: | 093000129RN |
| Business Practice Address: | 547 E Ridgeway Ave Hermiston, OR - 978381935 |
| Business Phone Number: | 5417209277 |
| Business Fax Number: | |
| Mailing Address: | 547 E Ridgeway Ave, HERMISTON |
| State: | OR |
| Postal Code: | 978381935 |
| Phone Number: | 5417209277 |
| Fax Number: | |
| NPI Enumeration Date: | 07/10/2013 |
| NPI Last Update Date: | 07/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | 093000129RN |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |