Individual provider · Type 1 NPI

Lavonne M. Moore, RNC CNM

Nurse Practitioner · Minneapolis, MN

NPI number 1750348546 Active

Practice location

1313 Penn Avenue North
Minneapolis, MN 55441

Call (612) 543-2500 Map

Fax (612) 302-4870

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR1138272 (MN)
Advanced Practice Midwife 367A00000XR113827-2 (MN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1750348546

Lavonne M. Moore, RNC CNM's National Provider Identifier is 1750348546, issued on Apr 27, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Minneapolis, MN. The record was last updated on Feb 26, 2013.