Individual provider · Type 1 NPI

Tara Louise Knack-Moreno, LPN

Licensed Practical Nurse · Parksville, NY

NPI number 1619112182 Active

Practice location

1032 Cooley Road
Parksville, NY 12768-0037

Mailing address

PO Box 37
Parksville, NY 12768-0037

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X285092-1 (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 1619112182

Tara Louise Knack-Moreno, LPN's National Provider Identifier is 1619112182, issued on Dec 11, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Parksville, NY. The record was last updated on Dec 11, 2008.