National Provider Identifier
Traci Ann Moore, LPN
Traci Ann Moore, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Hamburg, NY and a listed phone number of (716) 649-8375.
Profile Overview
- NPI
- 1225392574
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- July 02, 2012
- Last Updated
- July 02, 2012
Practice Location
- 5278 Southwestern Blvd
- Unit 904
- Hamburg, NY 14075-8000
Phone: (716) 649-8375
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1225392574
- Entity Type
- Individual
- Last Name
- Moore
- First Name
- Traci
- Middle Name
- Ann
- Name Prefix
- Miss
- Credential
- LPN
- Mailing Street Address
- 5278 Southwestern Blvd
- Mailing Address Line 2
- Unit 904
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075-8000
- Mailing Country
- US
- Mailing Phone
- (716) 649-8375
- Practice Street Address
- 5278 Southwestern Blvd
- Practice Address Line 2
- Unit 904
- Practice City
- Hamburg
- Practice State
- NY
- Practice ZIP Code
- 14075-8000
- Practice Country
- US
- Practice Phone
- (716) 649-8375
- Enumeration Date
- July 02, 2012
- Last Updated
- July 02, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)