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

Shelly Sue Moore

Individual provider Registered Nurse · NPI 1497326763

Shelly Sue Moore is a Registered Nurse in Tiffin, Ohio. Licensed in Ohio. Registered with an NPI since 2021.

Licensed in
OH
In the registry since
2021

Practice location Address checks out

410 Fair Ln
Tiffin, OH 44883-2518
Phone: (419) 443-0059
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 406719 (OH)

Record details

NPI number1497326763
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 7, 2021
Last updated in NPPESJuly 7, 2021
Certification dateJuly 7, 2021
Mailing address410 Fair Ln, Tiffin, OH 44883-2518

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