Tracy Moore is a Licensed Practical Nurse based in Otisville, NY. Tracy Moore practices in Otisville, NY. The NPI Number for Tracy Moore is 1598130395 and holds a License No. 316043 (New York).
The current practice location address for Tracy Moore is 2 Laura Ln, Otisville, NY and can be reached out via phone at 845-412-5414.
Location: 2 Laura Ln, Otisville, NY, 10963-2316
Provider Profile Details
NPI Number
1598130395
Provider Name
Tracy Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
2 Laura Ln, Otisville, NY, 10963-2316
Phone Number
845-412-5414
Fax Number
Provider Enumeration Date
12/04/2015
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
2 Laura Ln
City
State
Zip
10963-2316
Phone Number
845-412-5414
Fax Number
Provider Business Mailing Address Details
Address
2 Laura Ln
City
State
Zip
10963-2316
Phone Number
845-412-5414
Fax Number
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
316043 (New York)
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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