National Provider Identifier

Goldie Moore, LPN

Goldie 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) 773-0785.

NPI 1639683428Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1639683428
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
December 01, 2017
Last Updated
December 01, 2017

Practice Location

  • 140 Charwood Cir
  • Rochester, NY 14609-2706

Phone: (585) 773-0785

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1639683428
Entity Type
Individual
Last Name
Moore
First Name
Goldie
Credential
LPN
Mailing Street Address
140 Charwood Cir
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-2706
Mailing Country
US
Practice Street Address
140 Charwood Cir
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-2706
Practice Country
US
Practice Phone
(585) 773-0785
Enumeration Date
December 01, 2017
Last Updated
December 01, 2017
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)