IndividualActive
Shelby Moore, RN
NPI 1063370757 · General Practice Registered Nurse · Wichita, KS
Provider details
- NPI number
- 1063370757
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 14-165233-032 (KS)
Specialties & taxonomies
Nursing Service Providers
Practice location
707 N Emporia St
Wichita, KS 67214-3707
Phone: (207) 522-8334
Approximate (ZIP-level) locationGet directions
Mailing address
1608 W 35th St S
Wichita, KS 67217-2622
Registry dates
- Enumerated
- 2026-01-12
- Last updated
- 2026-01-12
- Certified
- 2026-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.