National Provider Identifier
Olivia Elizabeth Moore, LPN
Olivia Elizabeth 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) 454-3550.
Profile Overview
- NPI
- 1922822972
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- November 14, 2024
- Last Updated
- November 14, 2024
Practice Location
- 150 State St Ste 300
- Rochester, NY 14614-1353
Phone: (585) 454-3550
Mailing Address
- 280 Village II Drive
- D
- Hilton, NY 14468
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1922822972
- Entity Type
- Individual
- Last Name
- Moore
- First Name
- Olivia
- Middle Name
- Elizabeth
- Credential
- LPN
- Mailing Street Address
- 280 Village II Drive
- Mailing Address Line 2
- D
- Mailing City
- Hilton
- Mailing State
- NY
- Mailing ZIP Code
- 14468
- Mailing Country
- US
- Mailing Phone
- (585) 694-5564
- Practice Street Address
- 150 State St Ste 300
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14614-1353
- Practice Country
- US
- Practice Phone
- (585) 454-3550
- Enumeration Date
- November 14, 2024
- Last Updated
- November 14, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 13, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)