Donna M Moore in Conneaut - Licensed Practical Nurse
Donna M Moore - NPI 1528198793
Donna M Moore is a Licensed Practical Nurse in Conneaut, Ohio. Donna M Moore practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Donna M Moore is 1528198793. The last update date is 2007-07-08.
Donna M Moore's current location address is 459 Mill St, Conneaut, Ohio. You can contact this provider via phone number 4405931361 and fax number 4405999931. The mailing address for Donna M Moore is 459 Mill St, Conneaut, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donna M Moore |
|---|---|
| Address | 459 Mill St, Conneaut, Ohio |
| Phone Number | 4405931361 |
| Fax Number | 4405999931 |
| Sole Proprietor | Y |
| Credentials | L.P.N. |
NPI Number Detail
| NPI Number | 1528198793 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 459 Mill St |
|---|---|
| City | Conneaut |
| State | Ohio (OH) |
| Post Code | 440302454 |
| Phone Number | 4405931361 |
| Fax Number | 4405999931 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | PN 077951 |
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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 r |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 104228533699 | OH | -- |
Post Comment/ Review Below
What is the Donna M Moore's unique identification number?
The Donna M Moore has been assigned the NPI (National Provider Identifier) Number 1528198793 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Donna M Moore?
The Donna M Moore is situated at 459 Mill St, in the city of Conneaut, state of OH, with the zip code 440302454.
What is the Donna M Moore's area of specialization and corresponding taxonomy classification?
The Donna M Moore's specialty field is Licensed Practical Nurse, and it falls under the taxonomy code 164W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Donna M Moore receive the assignment of its 1528198793 from the Centers for Medicare & Medicaid Services?
The Donna M Moore was issued its 1528198793 by the Centers for Medicare & Medicaid Services on 2007-03-06.
As of what date was the information pertaining to Donna M Moore, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Donna M Moore, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.