Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACY MOORE
Active Sole ProprietorTRACY MOORE is a Licensed Practical Nurse healthcare provider located in OTISVILLE, New York. NPI 1598130395 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · OTISVILLE, NY
Registration Details
- NPI Number
- 1598130395
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 4, 2015 (10.51277804312 yrs)
- Last Updated
- Dec 4, 2015
- License
-
316043 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2 LAURA LNOTISVILLE, NY, 109632316Browse NY providers · Browse ZIP 10963
- Phone
- 8454125414
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in OTISVILLE, NY
| Name | Credential | NPI |
|---|---|---|
| ALYSSA VUKAS | — | 1649050550 |
| ASHANTE LEWIS | — | 1326909656 |
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.