National Provider Identifier
Theresa Lynn Moore, LPN
Theresa Lynn Moore, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Wayland, NY and a listed phone number of (585) 519-2216.
Profile Overview
- NPI
- 1477844769
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- April 21, 2011
- Last Updated
- April 21, 2011
Practice Location
- 7398 Lime Kiln RD
- Wayland, NY 14572-9213
Phone: (585) 519-2216
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1477844769
- Entity Type
- Individual
- Last Name
- Moore
- First Name
- Theresa
- Middle Name
- Lynn
- Credential
- LPN
- Mailing Street Address
- 7398 Lime Kiln RD
- Mailing City
- Wayland
- Mailing State
- NY
- Mailing ZIP Code
- 14572-9213
- Mailing Country
- US
- Mailing Phone
- (585) 519-2216
- Practice Street Address
- 7398 Lime Kiln RD
- Practice City
- Wayland
- Practice State
- NY
- Practice ZIP Code
- 14572-9213
- Practice Country
- US
- Practice Phone
- (585) 519-2216
- Enumeration Date
- April 21, 2011
- Last Updated
- April 21, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)
- Other Identifiers
- 271025 (NY)