Individual provider · Type 1 NPI

Destiney M. Moore

Nurse's Aide · Grand Rapids, MI

NPI number 1487465324 Active

Practice location

972 33rd St SE
Grand Rapids, MI 49508-2435

Call (646) 775-8413 Map

Mailing address

763 5th St NW # 2
Grand Rapids, MI 49504-5159

Specialties and licenses

Taxonomy	Code	License
Nurse's Aide Primary	376K00000X	None listed

Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…

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About NPI 1487465324

Destiney M. Moore's National Provider Identifier is 1487465324, issued on Jan 20, 2025. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 20, 2025.