Individual provider · Type 1 NPI

Danetha D. Moore, LPN

Licensed Practical Nurse · Rocky River, OH

NPI number 1821381047 Active

Practice location

22110 River Oaks Dr Apt 3C
Rocky River, OH 44116-3107

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X137577 (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 1821381047

Danetha D. Moore, LPN's National Provider Identifier is 1821381047, issued on May 20, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rocky River, OH. The record was last updated on May 20, 2011.