National Provider Identifier
Michelle Marie Moody, LPN
Michelle Marie Moody, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Pittsford, NY and a listed phone number of (585) 201-1287.
Profile Overview
- NPI
- 1033529169
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- April 28, 2014
- Last Updated
- September 23, 2024
Practice Location
- 141 Bradford RD
- Pittsford, NY 14534-2536
Phone: (585) 201-1287
Mailing Address
- 77 West Ham Circle
- North Chili, NY 14514
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1033529169
- Entity Type
- Individual
- Last Name
- Moody
- First Name
- Michelle
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Credential
- LPN
- Provider Other Last Name
- Lockwood
- Provider Other First Name
- Michelle
- Provider Other Middle Name
- Marie
- Provider Other Name Prefix Text
- Mrs.
- Provider Other Credential Text
- LPN
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 77 West Ham Circle
- Mailing City
- North Chili
- Mailing State
- NY
- Mailing ZIP Code
- 14514
- Mailing Country
- US
- Mailing Phone
- (585) 414-1851
- Practice Street Address
- 141 Bradford RD
- Practice City
- Pittsford
- Practice State
- NY
- Practice ZIP Code
- 14534-2536
- Practice Country
- US
- Practice Phone
- (585) 201-1287
- Enumeration Date
- April 28, 2014
- Last Updated
- September 23, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)