Edder G Mora
Licensed Practical Nurse in Lawrence, Massachusetts
1790469781- Practice location
- 360 Merrimack St Ste 9, Lawrence, MA 01843-1764
- Phone
- 978-655-6652
- Fax
- 833-963-2112
- Last updated
- June 12, 2023
Edder Geovanny Mora is a Licensed Practical Nurse based in Lawrence, MA. Edder Geovanny Mora practices in Lawrence, MA. The NPI Number for Edder Geovanny Mora is 1790469781 and holds a License No. LN101085 (MA). The current practice location address for Edder Geovanny Mora is 360 Merrimack St Ste 9, Lawrence, MA 01843-1764 and can be reached out via phone at 978-655-6652 and via fax at 833-963-2112.
Provider Profile Details
- NPI Number
- 1790469781
- Provider Name
- Edder Geovanny Mora
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 360 Merrimack St Ste 9, Lawrence, MA 01843-1764
- Phone Number
- 978-655-6652
- Fax Number
- 833-963-2112
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 12, 2023
- Last Update Date
- June 12, 2023
- Certification Date
- June 12, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 360 Merrimack St Ste 9
Lawrence, MA 01843-1764 - City
- Lawrence
- State
- Massachusetts
- Zip
- 01843-1764
- Phone Number
- 978-655-6652
- Fax Number
- 833-963-2112
Provider Business Mailing Address Details
- Address
- 87 Phillips St
Methuen, MA 01844-4311 - City
- Methuen
- State
- MA
- Zip
- 01844-4311
- Phone Number
- 978-835-5358
License Information
- License Number
- LN101085
- License State
- MA
- Taxonomy
- Licensed Practical Nurse · 164W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Edder G Mora?
The NPI number of Edder G Mora is 1790469781. It was assigned on June 12, 2023 and is currently active in the NPPES registry.
What is the specialty of Edder G Mora?
Edder G Mora is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in MA under license number LN101085.
Where does Edder G Mora practice?
The practice location is 360 Merrimack St Ste 9, Lawrence, MA 01843-1764. The office can be reached at 978-655-6652 (phone) or 833-963-2112 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790469781 directly on the NPPES registry website.