Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN RICHARD MOORE, RN
ActiveETHAN RICHARD MOORE, RN is a Critical Care Nurse healthcare provider located in LORAIN, Ohio. NPI 1972399624 is currently active in the NPPES registry. Verify at CMS.
Critical Care Nurse · LORAIN, OH
Registration Details
- NPI Number
- 1972399624
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 18, 2025 (1.3664531492744 yrs)
- Last Updated
- Apr 18, 2025
- License
-
RN.494812 (OH)
Practice Information
- Address
-
3700 KOLBE RDLORAIN, OH, 440531611Browse OH providers · Browse ZIP 44053
- Phone
- 4409603054
- Primary Specialty
-
Critical Care Nurse
163WC0200X
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.