Provider Type Icon

MRS. LATORYA DELOIS MOORE MSN RN AGPCNP-BC NPI 1720593908


NPI Information

NPI: 1720593908
Provider Name: MRS. LATORYA DELOIS MOORE, MSN, RN, AGPCNP-BC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
514 N BRIGHTLEAF BLVD STE 1100
SMITHFIELD, NC
ZIP 27577
Phone: (919) 989-2192
Get Directions

MRS. Latorya Delois Moore, MSN, RN, AGPCNP-BC is an adult health nurse practitioner in Smithfield, NC with 7 years of experience. MRS. Latorya Delois Moore, MSN, RN, AGPCNP-BC NPI is 1720593908. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduation Year:2017

The provider's business location address is:

514 N BRIGHTLEAF BLVD STE 1100
SMITHFIELD, NC
ZIP 27577
Phone: (919) 989-2192
Fax: (919) 934-0006

The NPI 1720593908 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/9/2017 and was last updated on 12/1/2019.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health5010083NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.