Individual provider · Type 1 NPI

Anastasia Moore

Licensed Practical Nurse · Carrollton, TX

NPI number 1801410006 Active

Practice location

1701 E Hebron Pkwy Apt 6301
Carrollton, TX 75010-2126

Mailing address

PO Box 116763
Carrollton, TX 75011-6763

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X312972 (TX)

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 1801410006

Anastasia Moore's National Provider Identifier is 1801410006, issued on Jun 3, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Carrollton, TX. The record was last updated on Jun 3, 2020.