Individual provider · Type 1 NPI

Kanasha Moore

Licensed Practical Nurse · Elmwood Park, NJ

NPI number 1245910934 Active

Practice location

100 Broadway Ste A
Elmwood Park, NJ 07407-3088

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X26NP07724100 (NJ)

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 1245910934

Kanasha Moore's National Provider Identifier is 1245910934, issued on Jul 19, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Elmwood Park, NJ. The record was last updated on Jul 19, 2023.