Individual provider · Type 1 NPI

Crystal Chantel Moore

Licensed Practical Nurse · Willoughby Hills, OH

NPI number 1033617675 Active

Practice location

2260 Par Ln, H 911
Willoughby Hills, OH 44094-2966

Call (910) 546-7997 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X161915 (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 1033617675

Crystal Chantel Moore's National Provider Identifier is 1033617675, issued on Jan 29, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Willoughby Hills, OH. The record was last updated on Jan 29, 2018.