person
Mary Alma Moore, LPN
Licensed Practical Nurse in Farmington, New Mexico
NPI 1457946170

Mary Alma Moore is a Licensed Practical Nurse based in Farmington, NM. Mary Alma Moore practices in Farmington, NM and has the professional credentials of LPN. The NPI Number for Mary Alma Moore is 1457946170 and holds a License No. 11854 (New Mexico).

The current practice location address for Mary Alma Moore is 607 E Apache St, Farmington, NM and can be reached out via phone at 505-326-2012 and via fax at 505-326-2939. You can also correspond with Mary Alma Moore through the mailing address at 607 E APACHE ST, FARMINGTON, NM - 87401-6925 (mailing address contact number: 505-326-2012).

Location: 607 E Apache St, Farmington, NM, 87401-6925
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Provider Profile Details
NPI Number
1457946170
Provider Name
Mary Alma Moore
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
607 E Apache St, Farmington, NM, 87401-6925
Phone Number
505-326-2012
Fax Number
505-326-2939
Provider Enumeration Date
03/04/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
15072340 01 NM CAQH
institution
Provider Business Practice Location Address Details
Address
607 E Apache St
City
State
Zip
87401-6925
Phone Number
505-326-2012
Fax Number
505-326-2939
person
Provider Business Mailing Address Details
Address
607 E Apache St
City
State
Zip
87401-6925
Phone Number
505-326-2012
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
11854 (Idaho)
Definition
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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