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Natasha Moore
Licensed Practical Nurse in Valley Stream, New York
NPI 1831442391

Natasha Moore is a Licensed Practical Nurse based in Valley Stream, NY. Natasha Moore practices in Valley Stream, NY. The NPI Number for Natasha Moore is 1831442391 and holds a License No. 290898-1 (New York).

The current practice location address for Natasha Moore is 13 Cleveland St, Valley Stream, NY and can be reached out via phone at 516-823-0739.

Location: 13 Cleveland St, Valley Stream, NY, 11580-6003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831442391
Provider Name
Natasha Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
13 Cleveland St, Valley Stream, NY, 11580-6003
Phone Number
516-823-0739
Fax Number
Provider Enumeration Date
10/22/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
290898-1 01 LPN LICENSE
institution
Provider Business Practice Location Address Details
Address
13 Cleveland St
City
Valley Stream
State
New York
Zip
11580-6003
Phone Number
516-823-0739
Fax Number
person
Provider Business Mailing Address Details
Address
13 Cleveland St
City
Valley Stream
State
New York
Zip
11580-6003
Phone Number
516-823-0739
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
290898-1 (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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