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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CRYSTAL CHANTEL MOORE

Active Sole Proprietor

CRYSTAL CHANTEL MOORE is a Licensed Practical Nurse healthcare provider located in WILLOUGHBY HILLS, Ohio. NPI 1033617675 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · WILLOUGHBY HILLS, OH

Registration Details

NPI Number
1033617675
Provider Type
Individual
Gender
Female
NPI Issued
Jan 29, 2018 (8.5144763098041 yrs)
Last Updated
Jan 29, 2018
License
161915 (OH)
Sole Proprietor
Yes

Practice Information

Address
2260 PAR LN
H 911
WILLOUGHBY HILLS, OH, 440942966
Browse OH providers · Browse ZIP 44094
Phone
9105467997
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in WILLOUGHBY HILLS, OH

Name Credential NPI
PASONA LATRECE WILSON LPN 1083849988
DORENDA OUSLEY LPN 1477867521
MONIQUE D WALKER LPN 1003122037
ELIZABETH CHRISTINA SPATES LPN 1851670699
MR. EDWIN SCOTT NETHERY L.P.N. 1184991747
CIERRA LAMAR LPN 1285986760
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.