Individual provider · Type 1 NPI

Candis Moore

School Registered Nurse · St. Paul, MN

NPI number 1154268233 Active

Practice location

360 Colborne St
St. Paul, MN 55102-3228

Specialties and licenses

TaxonomyCodeLicense
School Registered Nurse Primary 163WS0200X2536797 (MN)

School Registered Nurse: Definition to come...

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About NPI 1154268233

Candis Moore's National Provider Identifier is 1154268233, issued on Apr 29, 2026. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in St. Paul, MN. The record was last updated on Apr 29, 2026.