Individual provider · Type 1 NPI

Clintonary Moore

Licensed Practical Nurse · Grand Blanc, MI

NPI number 1861854911 Active

Practice location

5428 Country Club Ln
Grand Blanc, MI 48439-9179

Call (810) 308-1056 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703091879 (MI)

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.

Other licensed practical nurse providers in Grand Blanc

See all in Grand Blanc →

About NPI 1861854911

Clintonary Moore's National Provider Identifier is 1861854911, issued on Mar 27, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Grand Blanc, MI. The record was last updated on Mar 27, 2016.