Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cathy Shabaz Moore, PA-C

Individual provider Physician Assistant · NPI 1477641017

Cathy Shabaz Moore, PA-C is a Physician Assistant in Bloomington, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9220 James Ave S Ste 1
Bloomington, MN 55431-4504
Phone: (952) 234-5898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9909 (MN)

Record details

NPI number1477641017
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 10, 2006
Last updated in NPPESSeptember 2, 2022
Certification dateAugust 31, 2022

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