National Provider Identifier

Eileen Mary Moran, RN, INCLC

Eileen Mary Moran, RN, INCLC is listed in the NPPES registry with a primary specialty of Registered Nurse in Livonia, NY and a listed phone number of (585) 233-6442.

NPI 1598371395Livonia, NYRegistered Nurse

Profile Overview

NPI
1598371395
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
September 17, 2020
Last Updated
September 17, 2020

Practice Location

  • 26 Shelly RD
  • Livonia, NY 14487-9538

Phone: (585) 233-6442

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1598371395
Entity Type
Individual
Last Name
Moran
First Name
Eileen
Middle Name
Mary
Credential
RN, INCLC
Mailing Street Address
26 Shelly RD
Mailing City
Livonia
Mailing State
NY
Mailing ZIP Code
14487-9538
Mailing Country
US
Mailing Phone
(585) 233-6442
Mailing Fax
(585) 346-0492
Practice Street Address
26 Shelly RD
Practice City
Livonia
Practice State
NY
Practice ZIP Code
14487-9538
Practice Country
US
Practice Phone
(585) 233-6442
Practice Fax
(585) 346-0492
Enumeration Date
September 17, 2020
Last Updated
September 17, 2020
Sex
Female
Sole Proprietor
Yes
Certification Date
September 16, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)