Individual provider · Type 1 NPI

Nichole Lynn Moore, LPN

Licensed Practical Nurse · Dayton, OH

NPI number 1023671963 Active

Practice location

100 Elmwood Park Dr
Dayton, OH 45449-5402

Call (937) 247-9015 Map

Mailing address

901 W Washington St
New Carlisle, OH 45344-1552

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X126503.MEDS-IV (OH)

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 1023671963

Nichole Lynn Moore, LPN's National Provider Identifier is 1023671963, issued on Apr 16, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Dayton, OH. The record was last updated on Apr 16, 2019.