Individual provider · Type 1 NPI

Michelle Renae Moore, LPN

Licensed Practical Nurse · Fargo, ND

NPI number 1780500272 Active

Practice location

2101 Elm St N
Fargo, ND 58102-2417

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL18245 (ND)

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 1780500272

Michelle Renae Moore, LPN's National Provider Identifier is 1780500272, issued on Jun 29, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fargo, ND. The record was last updated on Jun 29, 2026.