National Provider Identifier

Dianna Lynn Moule, LPN

Dianna Lynn Moule, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Medina, NY and a listed phone number of (585) 615-3260.

NPI 1750626222Medina, NYLicensed Practical Nurse

Profile Overview

NPI
1750626222
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
December 10, 2012
Last Updated
December 10, 2012

Practice Location

  • 11325 Ridge RD
  • Medina, NY 14103-9648

Phone: (585) 615-3260

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1750626222
Entity Type
Individual
Last Name
Moule
First Name
Dianna
Middle Name
Lynn
Credential
LPN
Mailing Street Address
11325 Ridge RD
Mailing City
Medina
Mailing State
NY
Mailing ZIP Code
14103-9648
Mailing Country
US
Mailing Phone
(585) 615-3260
Practice Street Address
11325 Ridge RD
Practice City
Medina
Practice State
NY
Practice ZIP Code
14103-9648
Practice Country
US
Practice Phone
(585) 615-3260
Enumeration Date
December 10, 2012
Last Updated
December 10, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)