Individual provider · Type 1 NPI

Gaston A. Moore Jr., LPN

Licensed Vocational Nurse · Phoenix, AZ

NPI number 1760717797 Active

Practice location

1702 W Tuckey Ln
Phoenix, AZ 85015-1715

Specialties and licenses

Taxonomy	Code	License
Licensed Vocational Nurse Primary	164X00000X	LP039366 (AZ)

Licensed Vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1760717797

Gaston A. Moore Jr., LPN's National Provider Identifier is 1760717797, issued on Oct 8, 2009. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 8, 2009.