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JANE MOUDRIK
NPI 1184150153
Licensed Practical Nurse in Kauneonga Lake, NY

Active since May 11, 2017
44 HENREY STREET WURTSBORO, KAUNEONGA LAKE, NY 12749(845) 807-8818 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jane Moudrik NPPES

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

JANE MOUDRIK (NPI 1184150153) is an individual licensed practical nurse in Kauneonga Lake, New York, licensed in New York (198930) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1184150153
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJANE MOUDRIK
Location Address44 HENREY STREET WURTSBOROKauneonga Lake, NY 12749-0454
Mailing AddressPo Box 454Kauneonga Lake, NY 12749-0454 · (845) 807-8818
Phone(845) 807-8818
Sole ProprietorYes
Enumeration DateMay 11, 2017
✔ NPI 1184150153 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 · 198930
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.
44 HENREY STREET WURTSBORO, Kauneonga Lake, NY 12749
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jane Moudrik's NPI number?

The NPI number for Jane Moudrik is 1184150153. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Jane Moudrik located?

Jane Moudrik practices at 44 Henrey Street Wurtsboro, Kauneonga Lake, NY 12749. The listed phone number is (845) 807-8818.

What is Jane Moudrik's specialty?

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

When was this NPI record last updated?

The NPPES record for Jane Moudrik was last updated on May 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.