National Provider Identifier
Brenda Margaret Moore, LPN
Brenda Margaret Moore, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Mt Morris, NY and a listed phone number of (585) 658-2545.
Profile Overview
- NPI
- 1386957090
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- July 22, 2010
- Last Updated
- July 22, 2010
Practice Location
- 5502 St. Rt 36
- #48
- Mt Morris, NY 14510
Phone: (585) 658-2545
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1386957090
- Entity Type
- Individual
- Last Name
- Moore
- First Name
- Brenda
- Middle Name
- Margaret
- Name Prefix
- MS.
- Credential
- LPN
- Provider Other Last Name
- Bailey
- Provider Other First Name
- Brenda
- Provider Other Middle Name
- Margaret
- Provider Other Name Prefix Text
- MS.
- Provider Other Credential Text
- LPN
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 5502 St. Rt 36
- Mailing Address Line 2
- #48
- Mailing City
- Mt Morris
- Mailing State
- NY
- Mailing ZIP Code
- 14510
- Mailing Country
- US
- Mailing Phone
- (585) 658-2545
- Practice Street Address
- 5502 St. Rt 36
- Practice Address Line 2
- #48
- Practice City
- Mt Morris
- Practice State
- NY
- Practice ZIP Code
- 14510
- Practice Country
- US
- Practice Phone
- (585) 658-2545
- Enumeration Date
- July 22, 2010
- Last Updated
- July 22, 2010
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)