Individual provider · Type 1 NPI

Theresa Moore

Licensed Practical Nurse · Anchorage, AK

NPI number 1154219947 Active

Practice location

4000 Old Seward Hwy Ste 300
Anchorage, AK 99503-6079

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X208454 (AK)

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.

26 other providers at this address

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About NPI 1154219947

Theresa Moore's National Provider Identifier is 1154219947, issued on Jun 27, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Anchorage, AK. The record was last updated on Aug 18, 2026.