National Provider Identifier

Shalisha Hannah Moore, LPN

Shalisha Hannah Moore, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Cheektowaga, NY and a listed phone number of (716) 880-9936.

NPI 1487175873Cheektowaga, NYLicensed Practical Nurse

Profile Overview

NPI
1487175873
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
July 06, 2017
Last Updated
July 21, 2022

Practice Location

  • 25 Garden Village Dr Apt 1
  • Cheektowaga, NY 14227-3376

Phone: (716) 880-9936

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1487175873
Entity Type
Individual
Last Name
Moore
First Name
Shalisha
Middle Name
Hannah
Credential
LPN
Mailing Street Address
25 Garden Village Dr Apt 1
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14227-3376
Mailing Country
US
Mailing Phone
(716) 880-9936
Practice Street Address
25 Garden Village Dr Apt 1
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14227-3376
Practice Country
US
Practice Phone
(716) 880-9936
Enumeration Date
July 06, 2017
Last Updated
July 21, 2022
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)