Lavonne M Moore in Minneapolis - Nurse Practitioner

Lavonne M Moore - NPI 1750348546

Lavonne M Moore is a Nurse Practitioner in Minneapolis, Minnesota. Lavonne M Moore practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Lavonne M Moore is 1750348546. The last update date is 2013-02-26.

Lavonne M Moore's current location address is 1313 Penn Avenue North, Minneapolis, Minnesota. You can contact this provider via phone number 6125432500 and fax number 6123024870. The mailing address for Lavonne M Moore is 1313 Penn Avenue North, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Lavonne M Moore
Address 1313 Penn Avenue North, Minneapolis, Minnesota
Phone Number 6125432500
Fax Number 6123024870
Sole Proprietor N
Credentials RNC CNM

NPI Number Detail

NPI Number 1750348546
Provider Enumeration Date 2006-04-27
Last Updated Date 2013-02-26

Provider Mailing Address Detail

Address 1313 Penn Avenue North
City Minneapolis
State Minnesota (MN)
Post Code 55441
Phone Number 6125432500
Fax Number 6123024870

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No R1138272
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
702615300 MN --

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FAQs about Lavonne M Moore

What is the unique identifier code issued to Lavonne M Moore by the Centers for Medicare & Medicaid Services?

The Lavonne M Moore has been assigned the NPI (National Provider Identifier) 1750348546. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Lavonne M Moore is geographically located?

The Lavonne M Moore is physically situated at the following location: 1313 Penn Avenue North, Minneapolis, MN, 55441.

What is Lavonne M Moore's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Lavonne M Moore is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.

When did Lavonne M Moore receive its 1750348546 assignment?

The Lavonne M Moore was assigned its 1750348546 on 2006-04-27, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Lavonne M Moore most recently updated or revised?

The details related to Lavonne M Moore, including its address, specialty, and other relevant information, were last updated or revised on 2013-02-26.

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