Individual provider · Type 1 NPI

Yolanda Moore

Licensed Practical Nurse · Detroit, MI

NPI number 1245441278 Active

Practice location

13929 Harper Ave
Detroit, MI 48213-3672

Fax (313) 371-1409

Mailing address

10771 Somerset Ave
Detroit, MI 48224-1733

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703080368 (MI)

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 1245441278

Yolanda Moore's National Provider Identifier is 1245441278, issued on May 24, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Detroit, MI. The record was last updated on Jul 8, 2007.