MARY ALMA MOORE LPN NPI 1457946170

NPI Information

Mary Alma Moore, LPN is a licensed practical nurse in Farmington, NM. The provider is a licensed practical nurse 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. Mary Alma Moore, LPN NPI is 1457946170. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

607 E APACHE ST
FARMINGTON, NM
ZIP 87401-925
Phone: (505) 326-2012
Fax: (505) 326-2939

The enumeration date for this NPI number is 3/4/2021 and was last updated on 3/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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