National Provider Identifier

Elonda Moody, LPN

Elonda Moody, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 498-0730.

NPI 1336707488Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1336707488
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
June 04, 2019
Last Updated
June 04, 2019

Practice Location

  • 131 Copeland St
  • Rochester, NY 14609-4737

Phone: (585) 498-0730

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1336707488
Entity Type
Individual
Last Name
Moody
First Name
Elonda
Credential
LPN
Mailing Street Address
131 Copeland St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-4737
Mailing Country
US
Mailing Phone
(585) 498-0730
Practice Street Address
131 Copeland St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-4737
Practice Country
US
Practice Phone
(585) 498-0730
Enumeration Date
June 04, 2019
Last Updated
June 04, 2019
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)
Other Identifiers
334006 (NY)