Doctor Name: | MRS. LAVON RENA MOORE |
NPI Number: | 1154639805 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NURSE |
License Number: | PN-121466 |
Business Practice Address: | 19081 Watercrest Avenue Maple Heights, OH - 44137 |
Business Phone Number: | 2166626045 |
Business Fax Number: | 2166626055 |
Mailing Address: | 19081 Watercrest Ave, MAPLE HEIGHTS |
State: | OH |
Postal Code: | 441373150 |
Phone Number: | 2168166045 |
Fax Number: | 1266626055 |
NPI Enumeration Date: | 09/15/2010 |
NPI Last Update Date: | 09/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164X00000X |
License Number: | PN-121466 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Vocational Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |