Andrea Sue Moore LPN

NPI 1730468844 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1730468844
Gender Female
Enumeration Date 08/06/2011
Last Updated 08/06/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1669 MOON RD
GREENFIELD OH, 45123-8227, US
Phone (740) 463-6056
Fax
Business Location
1669 MOON RD
GREENFIELD OH, 45123-8227, US
Phone (740) 463-6056
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Ohio
License Number PN112938
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According to our database, Mrs. Andrea Sue Moore LPN NPI is 1730468844, taxonomy code is 164W00000X and license number is PN112938, license state is located at Ohio. Andrea Sue Moore LPN physically located at 1669 Moon Rd, Greenfield OH, 45123-8227. NPI Number Andrea Sue Moore LPN has the Individual type.

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1730468844 NPI number is provided on an as is basis without warranty of any kind. 1730468844 is maintained by the National Plan & Provider Enumeration System. The contents of Andrea Sue Moore LPN are for informational purposes only.