National Provider Identifier

Alyssa Alexandria Moore, LPN

Alyssa Alexandria Moore, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Livonia, NY and a listed phone number of (520) 732-6471.

NPI 1134948037Livonia, NYLicensed Practical Nurse

Profile Overview

NPI
1134948037
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
October 08, 2024
Last Updated
October 08, 2024

Practice Location

  • 7 Branch St
  • Livonia, NY 14487-9701

Phone: (520) 732-6471

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1134948037
Entity Type
Individual
Last Name
Moore
First Name
Alyssa
Middle Name
Alexandria
Credential
LPN
Mailing Street Address
7 Branch St
Mailing City
Livonia
Mailing State
NY
Mailing ZIP Code
14487-9701
Mailing Country
US
Practice Street Address
7 Branch St
Practice City
Livonia
Practice State
NY
Practice ZIP Code
14487-9701
Practice Country
US
Practice Phone
(520) 732-6471
Enumeration Date
October 08, 2024
Last Updated
October 08, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
October 08, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)