National Provider Identifier
Casandra Moore, LPN
Casandra Moore, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 576-0610.
Profile Overview
- NPI
- 1619246170
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- December 29, 2011
- Last Updated
- May 02, 2023
Practice Location
- 50 Dodge St
- Rochester, NY 14606-1523
Phone: (585) 576-0610
Mailing Address
- 640 Flower City Park
- Rochester, NY 14615-3621
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1619246170
- Entity Type
- Individual
- Last Name
- Moore
- First Name
- Casandra
- Credential
- LPN
- Mailing Street Address
- 640 Flower City Park
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14615-3621
- Mailing Country
- US
- Mailing Phone
- (585) 491-2803
- Practice Street Address
- 50 Dodge St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14606-1523
- Practice Country
- US
- Practice Phone
- (585) 576-0610
- Enumeration Date
- December 29, 2011
- Last Updated
- May 02, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- May 02, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)