Individual provider · Type 1 NPI

Mary Alma Moore, LPN

Licensed Practical Nurse · Farmington, NM

NPI number 1457946170 Active

Practice location

607 E Apache St
Farmington, NM 87401-6925

Call (505) 326-2012 Map

Fax (505) 326-2939

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X11854 (ID)

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 1457946170

Mary Alma Moore, LPN's National Provider Identifier is 1457946170, issued on Mar 4, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Farmington, NM. The record was last updated on Mar 4, 2021.