Individual provider · Type 1 NPI

Evelyn Moore

Licensed Practical Nurse · Rensselaer, NY

NPI number 1154577286 Active

Practice location

87 Washington St
Rensselaer, NY 12144-2613

Call (518) 449-1142 Map

Mailing address

PO Box 148
Rensselaer, NY 12144-0148

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X071815 (NY)

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 1154577286

Evelyn Moore's National Provider Identifier is 1154577286, issued on Aug 8, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rensselaer, NY. The record was last updated on Aug 8, 2008.