Individual provider · Type 1 NPI

Kpannah Moore

Licensed Practical Nurse · Staten Island, NY

NPI number 1760927255 Active

Practice location

492 Vanderbilt Avenue
Staten Island, NY 10304

Call (347) 409-7565 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X327659 (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 1760927255

Kpannah Moore's National Provider Identifier is 1760927255, issued on Dec 20, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Staten Island, NY. The record was last updated on Dec 20, 2016.