Individual provider · Type 1 NPI

Vermilyea Moore

Licensed Practical Nurse · Wyandanch, NY

NPI number 1164042149 Active

Practice location

27 Brook Ave
Wyandanch, NY 11798-4107

Call (631) 926-3796 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X25490 (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 1164042149

Vermilyea Moore's National Provider Identifier is 1164042149, issued on Apr 20, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Wyandanch, NY. The record was last updated on Apr 20, 2020.