Individual provider · Type 1 NPI
Deasia Moore
Medical-Surgical Registered Nurse · Washingtonville, NY
NPI number
1902254485
Active · reactivated Nov 21, 2024
Practice location
10 Josephine Dr
Washingtonville, NY 10992-1000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse | 164W00000X | 323577 (NY) |
| Medical-Surgical Registered Nurse Primary | 163WM0705X | 722968 (NY) |
Medical-Surgical Registered Nurse: Definition to come...
About NPI 1902254485
Deasia Moore's National Provider Identifier is 1902254485, issued on May 25, 2016. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Washingtonville, NY. The record was last updated on Nov 21, 2024.