Lisa Moon, registered nurse
Registered Nurse in Palmyra, NY. Individual provider (NPI-1).
NPI number1164046769
StatusActive
Last updated in NPPESMay 31, 2020
Details
- NPI
- 1164046769
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lisa Moon
- Credential
- registered nurse
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 31, 2020
- Certification date
- May 31, 2020
- Last updated
- May 31, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 558547 | NY | Yes |
Practice location
2584 Maple AvePalmyra, NY 14522-9372
Phone 315-573-0203
Mailing address
2584 Maple AvePalmyra, NY 14522-9372
Phone 315-573-0203
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All 13 Registered Nurse providers in Palmyra · All 77 providers in Palmyra
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