Individual provider · Type 1 NPI

Shirley A. Moon, LPN

Licensed Practical Nurse · Dayton, OH

NPI number 1801328372 Active

Practice location

601 S Edwin C Moses Blvd
Dayton, OH 45417-3424

Call (937) 734-8333 Map

Fax (937) 716-1331

Mailing address

601 S Edwin Moses Blvd
Dayton, OH 45417-3424

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X148589M-IV (OH)

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 1801328372

Shirley A. Moon, LPN's National Provider Identifier is 1801328372, issued on Apr 3, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Dayton, OH. The record was last updated on Apr 16, 2018.