Evelyn Moore
Licensed Practical Nurse in Rensselaer, NY. Individual provider (NPI-1).
NPI number1154577286
StatusActive
Last updated in NPPESAug 8, 2008
Details
- NPI
- 1154577286
- Entity type
- Individual (NPI-1)
- Name
- Evelyn Moore
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 8, 2008
- Last updated
- Aug 8, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 071815 | NY | Yes |
Practice location
87 Washington StRensselaer, NY 12144-2613
Phone 518-449-1142
Mailing address
Po Box 148Rensselaer, NY 12144-0148
Phone 518-449-1142
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All 84 Licensed Practical Nurse providers in Rensselaer · All 424 providers in Rensselaer
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