Mr. Gaston A Moore JR., LPN - Phoenix, AZ

Mr. Gaston A Moore JR., LPN

Licensed Vocational Nurse in Phoenix, Arizona

NPI 1760717797

Gaston A Moore JR. is a Licensed Vocational Nurse based in Phoenix, AZ. Gaston A Moore JR. practices in Phoenix, AZ and has the professional credentials of LPN. The NPI Number for Gaston A Moore JR. is 1760717797 and holds a License No. LP039366 (Arizona).

The current practice location address for Gaston A Moore JR. is 1702 W Tuckey Ln, Phoenix, AZ and can be reached out via phone at 602-518-5910.

Location: 1702 W Tuckey Ln, Phoenix, AZ, 85015-1715

NPI Number

1760717797

Provider Name

Gaston A Moore JR.

Credential

LPN

Provider Entity Type

Individual

Gender

Male

Address

1702 W Tuckey Ln, Phoenix, AZ, 85015-1715

Phone Number

602-518-5910

Fax Number

Provider Enumeration Date

10/08/2009

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
LP039366	01	AZ	LPN

Address

1702 W Tuckey Ln

City

Phoenix

State

Arizona

Zip

85015-1715

Phone Number

602-518-5910

Fax Number

Address

1702 W Tuckey Ln

City

Phoenix

State

Arizona

Zip

85015-1715

Phone Number

602-518-5910

Fax Number

Type

Nursing Service Providers

Classification

Licensed Vocational Nurse

Speciality

Taxonomy

164X00000X

License No.

LP039366 (Arizona)

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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

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