National Provider Identifier
Deven Moore
Deven Moore is listed in the NPPES registry with a primary specialty of Registered Nurse in Geneva, NY and a listed phone number of (315) 781-8448.
Profile Overview
- NPI
- 1053869453
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- September 14, 2016
- Last Updated
- November 08, 2016
Practice Location
- 601B W Washington St
- Geneva, NY 14456-2119
Phone: (315) 781-8448
Mailing Address
- 14 Maiden Ln
- Penn Yan, NY 14527-1208
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1053869453
- Entity Type
- Individual
- Last Name
- Moore
- First Name
- Deven
- Mailing Street Address
- 14 Maiden Ln
- Mailing City
- Penn Yan
- Mailing State
- NY
- Mailing ZIP Code
- 14527-1208
- Mailing Country
- US
- Mailing Phone
- (315) 531-9102
- Mailing Fax
- (315) 531-9103
- Practice Street Address
- 601B W Washington St
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456-2119
- Practice Country
- US
- Practice Phone
- (315) 781-8448
- Practice Fax
- (315) 781-8444
- Enumeration Date
- September 14, 2016
- Last Updated
- November 08, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)
- Other Identifiers
- 630125 (NY, License)