Individual provider · Type 1 NPI

Donna Moon

Licensed Practical Nurse · Utica, NY

NPI number 1003092156 Active

Practice location

1900 Genesee St
Utica, NY 13502-5635

Call (315) 797-7050 Map

Mailing address

1680 Bear Creek Rd
Woodgate, NY 13494-2116

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	60634 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1003092156

Donna Moon's National Provider Identifier is 1003092156, issued on Jan 18, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Utica, NY. The record was last updated on Jan 18, 2008.