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Brody Moore, LPN
Licensed Practical Nurse in Rogers, Arkansas
NPI 1487352654

Brody Moore is a Licensed Practical Nurse based in Rogers, AR. Brody Moore practices in Rogers, AR and has the professional credentials of LPN. The NPI Number for Brody Moore is 1487352654 and holds a License No. L055574 (Arkansas).

The current practice location address for Brody Moore is 3400 N Woods Ln, Rogers, AR and can be reached out via phone at 479-636-3190.

Location: 3400 N Woods Ln, Rogers, AR, 72756-6712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487352654
Provider Name
Brody Moore
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
3400 N Woods Ln, Rogers, AR, 72756-6712
Phone Number
479-636-3190
Fax Number
Provider Enumeration Date
02/17/2023
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
251C00000X 05 AR
institution
Provider Business Practice Location Address Details
Address
3400 N Woods Ln
City
Rogers
State
Arkansas
Zip
72756-6712
Phone Number
479-636-3190
Fax Number
person
Provider Business Mailing Address Details
Address
3400 N Woods Ln
City
Rogers
State
Arkansas
Zip
72756-6712
Phone Number
479-636-3190
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
L055574 (Arkansas)
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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