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Edder Geovanny Mora
Licensed Practical Nurse in Lawrence, Massachusetts
NPI 1790469781

Edder Geovanny Mora is a Licensed Practical Nurse based in Methuen, MA. Edder Geovanny Mora practices in Lawrence, MA. The NPI Number for Edder Geovanny Mora is 1790469781 and holds a License No. LN101085 (Massachusetts).

The current practice location address for Edder Geovanny Mora is 360 Merrimack St Ste 9, Lawrence, MA and can be reached out via phone at 978-655-6652 and via fax at 833-963-2112.

Location: 360 Merrimack St Ste 9, Lawrence, MA, 01844-4311
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790469781
Provider Name
Edder Geovanny Mora
Credential
Provider Entity Type
Individual
Gender
Male
Address
360 Merrimack St Ste 9, Lawrence, MA, 01844-4311
Phone Number
978-655-6652
Fax Number
833-963-2112
Provider Enumeration Date
06/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
360 Merrimack St Ste 9
City
Lawrence
State
Massachusetts
Zip
01843-1764
Phone Number
978-655-6652
Fax Number
833-963-2112
person
Provider Business Mailing Address Details
Address
360 Merrimack St Ste 9
City
Lawrence
State
Massachusetts
Zip
01843-1764
Phone Number
978-655-6652
Fax Number
833-963-2112
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
LN101085 (Massachusetts)
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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