National Provider Identifier

Terryl Lynn Oliver Moore II, LPN

Terryl Lynn Oliver Moore II, 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) 748-8509.

NPI 1346009578Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1346009578
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
March 18, 2024
Last Updated
March 18, 2024

Practice Location

  • 147 Charwood Cir
  • Rochester, NY 14609-2718

Phone: (585) 748-8509

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1346009578
Entity Type
Individual
Last Name
Oliver Moore
First Name
Terryl
Middle Name
Lynn
Name Suffix
II
Credential
LPN
Mailing Street Address
147 Charwood Cir
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-2718
Mailing Country
US
Mailing Phone
(585) 748-8509
Practice Street Address
147 Charwood Cir
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-2718
Practice Country
US
Practice Phone
(585) 748-8509
Enumeration Date
March 18, 2024
Last Updated
March 18, 2024
Sex
Female
Sole Proprietor
No
Certification Date
March 18, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)