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EDDER GEOVANNY MORA
NPI 1790469781
Licensed Practical Nurse in Lawrence, MA

Active since June 12, 2023
360 MERRIMACK ST STE 9, LAWRENCE, MA 01843(978) 655-6652(833) 963-2112 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edder Geovanny Mora NPPES

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

EDDER GEOVANNY MORA (NPI 1790469781) is an individual licensed practical nurse in Lawrence, Massachusetts, licensed in Massachusetts (LN101085) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1790469781
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameEDDER GEOVANNY MORA
Location Address360 MERRIMACK ST STE 9Lawrence, MA 01843-1764
Mailing Address87 Phillips StMethuen, MA 01844-4311 · (978) 835-5358
Phone(978) 655-6652
Fax(833) 963-2112
Sole ProprietorNo
Enumeration DateJune 12, 2023
NPPES CertifiedJune 12, 2023
✔ NPI 1790469781 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 MA · LN101085
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.
360 MERRIMACK ST STE 9, Lawrence, MA 01843
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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.

SCOTT C EARLY MD
Family Medicine
360 MERRIMACK ST STE 9
LAWRENCE, MA 01843
Essex County (978) 655-6652
JORDAN MOLINA MSW
Social Worker (Clinical)
360 MERRIMACK ST STE 9
LAWRENCE, MA 01843
Essex County (978) 688-4830
DR. ANNA D FUCHU PHD
Counselor (Mental Health)
360 MERRIMACK ST STE 9
LAWRENCE, MA 01843
Essex County (978) 688-4830
SUMATEE PERSAD
Counselor (Mental Health)
360 MERRIMACK ST STE 9
LAWRENCE, MA 01843
Essex County (917) 843-9981
NATASHA LUGO
Counselor (Mental Health)
360 MERRIMACK ST STE 9
LAWRENCE, MA 01843
Essex County (978) 683-4830
JESSICA SLAVIN
Counselor (Mental Health)
360 MERRIMACK ST STE 9
LAWRENCE, MA 01843
Essex County (978) 688-4830
DR. JOANNE NOWAK MD
Internal Medicine
360 MERRIMACK ST STE 9
LAWRENCE, MA 01843
Essex County (978) 552-4080
MATHIS WILSON MATEUS OD
Optometrist
360 MERRIMACK ST STE 9
LAWRENCE, MA 01843
Essex County (978) 688-6182

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 Edder Mora's NPI number?

The NPI number for Edder Mora is 1790469781. It was assigned to this individual provider in the NPPES registry on June 12, 2023.

Where is Edder Mora located?

Edder Mora practices at 360 Merrimack St Ste 9, Lawrence, MA 01843. The listed phone number is (978) 655-6652.

What is Edder Mora'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 Edder Mora was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.