Tara Renee Moore LPN

NPI 1285936047 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1285936047
Gender Female
Enumeration Date 11/30/2010
Last Updated 11/30/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
126 MISSOURI AVE
FORT LEONARD WOOD MO, 65473-8952, US
Phone (573) 596-1766
Fax (573) 596-4900
Business Location
126 MISSOURI AVE
FORT LEONARD WOOD MO, 65473-8952, US
Phone (573) 596-1766
Fax (573) 596-4900
Toxanomy
Taxonomy Code 164W00000X
License State Missouri
License Number 2008025143
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According to our database, Miss Tara Renee Moore LPN NPI is 1285936047, taxonomy code is 164W00000X and license number is 2008025143, license state is located at Missouri. Tara Renee Moore LPN physically located at 126 Missouri Ave, Fort Leonard Wood MO, 65473-8952. NPI Number Tara Renee Moore LPN has the Individual type.

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1285936047 NPI number is provided on an as is basis without warranty of any kind. 1285936047 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Renee Moore LPN are for informational purposes only.