Individual provider · Type 1 NPI

Kaniya Moon

Licensed Practical Nurse · Lancaster, PA

NPI number 1982449047 Active

Practice location

2141 Oregon Pike
Lancaster, PA 17602-4604

Call (717) 617-2708 Map

Mailing address

331 South Booth Drive
Wilmington Manor, DE 19720

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	PN318263 (PA)

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 1982449047

Kaniya Moon's National Provider Identifier is 1982449047, issued on Jun 28, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Lancaster, PA. The record was last updated on Jun 28, 2024.