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

HAVONA MOORE

Active

HAVONA MOORE is a Licensed Practical Nurse healthcare provider located in MAPLEWOOD, Minnesota. NPI 1174475040 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · MAPLEWOOD, MN

Registration Details

NPI Number
1174475040
Provider Type
Individual
Gender
Female
NPI Issued
Feb 12, 2026 (0.53924483889593 yrs)
Last Updated
Feb 12, 2026
License
L-625029 (MN)

Practice Information

Address
3100 KENNARD ST
MAPLEWOOD, MN, 551095465
Browse MN providers · Browse ZIP 55109
Phone
6512255456
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in MAPLEWOOD, MN

Name Credential NPI
ANGELA ROESER LPN 1205788486
MRS. ALYSSA RAE WILLIAMS LPN 1073465118
MORGAN MCKINLEY 1295687176
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.