Individual provider · Type 1 NPI

Fawne Moon

Licensed Practical Nurse · Youngstown, OH

NPI number 1043618283 Active

Practice location

50 Essex Street
Youngstown, OH 44502

Call (330) 746-2240 Map

Mailing address

3754 Baymar Drive
Youngstown, OH 44511

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN-102367 (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 1043618283

Fawne Moon's National Provider Identifier is 1043618283, issued on Dec 19, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Youngstown, OH. The record was last updated on Dec 19, 2014.