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MISS TINA MARIE MOORE LPN
NPI 1528576071
Licensed Practical Nurse in Warren, OH

Active since January 18, 2018
4930 ENTERPRISE DR NW, WARREN, OH 44481(330) 787-0955 Get Directions Write a Review

NPPES record last updated: May 24, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 24, 2018, Jan 18, 2018 (2 updates tracked since 2018).

About Miss Tina Marie Moore Lpn NPPES

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

MISS TINA MARIE MOORE LPN (NPI 1528576071) is an individual licensed practical nurse in Warren, Ohio, licensed in Ohio (096746) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1528576071
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMISS TINA MARIE MOORECredential: LPN
Location Address4930 ENTERPRISE DR NWWarren, OH 44481
Mailing Address4930 Enterprise Dr NwWarren, OH 44481-8706 · (330) 787-0955
Phone(330) 787-0955
Sole ProprietorYes
Enumeration DateJanuary 18, 2018
Last NPPES UpdateMay 24, 20182 updates tracked since enumeration
✔ NPI 1528576071 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 OH · 096746
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.
4930 ENTERPRISE DR NW, Warren, OH 44481
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Other Names 1

Former Name (1)Tina Marie Mortaro Lpn

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRYSTAL GRIFFIN LPN
Licensed Practical Nurse
4930 ENTERPRISE DR NW
WARREN, OH 44481
Trumbull County (330) 787-0955
CHARITEY RIGGS CDCA
Substance Abuse Rehabilitation Facility
4930 ENTERPRISE DR NW
WARREN, OH 44481
Trumbull County (330) 787-0955
ANNA LYNCH CDCA
Substance Abuse Rehabilitation Facility
4930 ENTERPRISE DR NW
WARREN, OH 44481
Trumbull County (330) 787-0955
JEANNETTE SINGLETON LICDC
Social Worker
4930 ENTERPRISE DR NW
WARREN, OH 44481
Trumbull County (330) 369-8022
DANA PUGH
Licensed Practical Nurse
4930 ENTERPRISE DR NW
WARREN, OH 44481
Trumbull County (330) 369-8022
DALTON KINDER CDCA
Substance Abuse Rehabilitation Facility
4930 ENTERPRISE DR NW
WARREN, OH 44481
Trumbull County (330) 787-0955
TASHI JOHNSON
Counselor (Addiction (Substance Use Disorder))
4930 ENTERPRISE DR NW
WARREN, OH 44481
Trumbull County (330) 369-8022
DANIEL JAYSON LYDIC
Counselor (Addiction (Substance Use Disorder))
4930 ENTERPRISE DR NW
WARREN, OH 44481
Trumbull County (330) 369-8022

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 Tina Moore's NPI number?

The NPI number for Tina Moore is 1528576071. It was assigned to this individual provider in the NPPES registry on January 18, 2018. The provider is also known as Tina Marie Mortaro Lpn.

Where is Tina Moore located?

Tina Moore practices at 4930 Enterprise Dr NW, Warren, OH 44481. The listed phone number is (330) 787-0955.

What is Tina Moore'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 Tina Moore was last updated on May 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.