Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bruce Moberg

Individual provider Licensed Practical Nurse · NPI 1740879667

Bruce Moberg is a Licensed Practical Nurse in Lakewood, Washington. Licensed in Washington. Registered with an NPI since 2021.

Licensed in
WA
In the registry since
2021

Practice location Address checks out

9720 S Tacoma Way
Lakewood, WA 98499-4456
Phone: (253) 503-3666
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence LP60105633 (WA)

Record details

NPI number1740879667
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 14, 2021
Last updated in NPPESJanuary 14, 2021
Certification dateJanuary 14, 2021
Mailing address15 Oregon Ave Ste 308, Tacoma, WA 98409-7462

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