DESTINY MOOTY NPI 1942781182

NPI Information

NPI: 1942781182
Provider Name: DESTINY MOOTY
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
475 EASTDALE DR
DAYTON, OH
ZIP 45415
Phone: (937) 626-6868
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Destiny Mooty is a licensed practical nurse in Dayton, OH. 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. Destiny Mooty NPI is 1942781182. 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:

475 EASTDALE DR
DAYTON, OH
ZIP 45415-913
Phone: (937) 626-6868

The enumeration date for this NPI number is 8/26/2018 and was last updated on 6/5/2023.

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
1	164W00000X	Licensed Practical Nurse		168599	OHIO	Yes

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: 4/28/2024

NPI Synchronization or Removal

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