Individual provider · Type 1 NPI

Nicole Moore

Licensed Practical Nurse · Tonawanda, NY

NPI number 1750629499 Active

Practice location

2465 Sheridan Dr
Tonawanda, NY 14150-9407

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X292224 (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 1750629499

Nicole Moore's National Provider Identifier is 1750629499, issued on Jan 30, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Tonawanda, NY. The record was last updated on Jan 30, 2013.