DONNA MOON
NPI 1003092156
Licensed Practical Nurse in Utica, NY

Q: What is Donna Moon's NPI number?

The NPI number for Donna Moon is 1003092156. It was assigned to this individual provider in the NPPES registry on January 18, 2008.

Q: What is Donna Moon's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Donna Moon was last updated on January 18, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 18, 2008

1900 GENESEE ST, UTICA, NY 13502(315) 797-7050 Get Directions Write a Review

NPPES record last updated: January 18, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Donna Moon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DONNA MOON (NPI 1003092156) is an individual licensed practical nurse in Utica, New York, licensed in New York (60634) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1003092156

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameDONNA MOON

Location Address1900 GENESEE STUtica, NY 13502-5635

Mailing Address1680 Bear Creek RdWoodgate, NY 13494-2116

Phone(315) 797-7050

Sole ProprietorNo

Enumeration DateJanuary 18, 2008

✔ NPI 1003092156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 60634

Definition

A licensed practical nurse 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.

1900 GENESEE ST, Utica, NY 13502

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