National Provider Identifier
Andra M Moody
Andra M Moody is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 309-0553.
Profile Overview
- NPI
- 1477123875
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- June 28, 2021
- Last Updated
- June 28, 2021
Practice Location
- 119 Rockview Ter
- Rochester, NY 14606-1914
Phone: (585) 309-0553
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1477123875
- Entity Type
- Individual
- Last Name
- Moody
- First Name
- Andra
- Middle Name
- M
- Mailing Street Address
- 119 Rockview Ter
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14606-1914
- Mailing Country
- US
- Mailing Phone
- (585) 309-0553
- Practice Street Address
- 119 Rockview Ter
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14606-1914
- Practice Country
- US
- Practice Phone
- (585) 309-0553
- Enumeration Date
- June 28, 2021
- Last Updated
- June 28, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- June 28, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)