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NINA MARIE MOORE LPN
NPI 1740920172
Licensed Practical Nurse in Palm Coast, FL

Active since April 01, 2022
65 EASTWOOD DR, PALM COAST, FL 32164(317) 294-8164 Get Directions Write a Review

NPPES record last updated: April 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nina Marie Moore Lpn NPPES

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

NINA MARIE MOORE LPN (NPI 1740920172) is an individual licensed practical nurse in Palm Coast, Florida, licensed in Florida (PN5238743) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1740920172
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameNINA MARIE MOORECredential: LPN
Location Address65 EASTWOOD DRPalm Coast, FL 32164-6160
Mailing Address65 Eastwood DrPalm Coast, FL 32164-6160 · (317) 294-8164
Phone(317) 294-8164
Sole ProprietorYes
Enumeration DateApril 1, 2022
NPPES CertifiedApril 1, 2022
✔ NPI 1740920172 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 FL · PN5238743
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.
65 EASTWOOD DR, Palm Coast, FL 32164
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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 Nina Moore's NPI number?

The NPI number for Nina Moore is 1740920172. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Where is Nina Moore located?

Nina Moore practices at 65 Eastwood Dr, Palm Coast, FL 32164. The listed phone number is (317) 294-8164.

What is Nina 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 Nina Moore was last updated on April 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.