Doctor Name: | GWENDOLYN LAYETTE MOORE |
NPI Number: | 1013363449 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 81-068-4911 |
Business Practice Address: | 4441 Old Colony Road Kalamazoo, MI - 49008 |
Business Phone Number: | 2693128858 |
Business Fax Number: | 2693128789 |
Mailing Address: | 4441 Old Colony Rd, KALAMAZOO |
State: | MI |
Postal Code: | 490083200 |
Phone Number: | 2693128858 |
Fax Number: | 2693128789 |
NPI Enumeration Date: | 05/04/2016 |
NPI Last Update Date: | 05/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 374U00000X |
License Number: | 81-068-4911 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Nursing Service Related Providers |
Taxonomy Classification: | Home Health Aide |
Taxonomy Specialization: | |
Taxonomy Definition: | A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |