Vermilyea Moore
Licensed Practical Nurse in Wyandanch, NY. Individual provider (NPI-1).
NPI number1164042149
StatusActive
Last updated in NPPESApr 20, 2020
Details
- NPI
- 1164042149
- Entity type
- Individual (NPI-1)
- Name
- Vermilyea Moore
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 20, 2020
- Certification date
- Apr 20, 2020
- Last updated
- Apr 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 25490 | NY | Yes |
Practice location
27 Brook AveWyandanch, NY 11798-4107
Phone 631-926-3796
Mailing address
27 Brook AveWyandanch, NY 11798-4107
Phone 631-926-3796
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All 34 Licensed Practical Nurse providers in Wyandanch · All 192 providers in Wyandanch
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