Individual provider · Type 1 NPI

Shani Moore, LPN

Licensed Practical Nurse · Valley Stream, NY

NPI number 1992515134 Active

Practice location

129 Rockaway Ave # 1114
Valley Stream, NY 11580-5812

Mailing address

6905 Kissena Blvd Apt 1C
Flushing, NY 11367-1515

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X346778 (NY)

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 1992515134

Shani Moore, LPN's National Provider Identifier is 1992515134, issued on Jan 9, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Valley Stream, NY. The record was last updated on Jan 10, 2025.