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

Phedra C Moran

Individual provider Nurse Practitioner · NPI 1538646252

Phedra C Moran is a Nurse Practitioner in Spokane, Washington. Qualified in 2018, 8 years ago. Practices with Integra Imaging Ps, a 125-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
8
Licensed in
WA
In the registry since
2018
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Practice location Address checks out

105 W 8th Ave Ste 122C
Spokane, WA 99204-2302
Phone: (509) 474-2894
Fax: (509) 227-7070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP60884563 (WA)

Record details

NPI number1538646252
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 25, 2018
Last updated in NPPESMay 25, 2021
Certification dateMay 25, 2021
Mailing addressPo Box 421, Liberty Lake, WA 99019-0421

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Integra Imaging Ps — 125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Spokane