LISA MOON RN
NPI 1821440165
Registered Nurse - Case Management in Apple Valley, MN
Active since July 11, 2016
About Lisa Moon Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA MOON RN (NPI 1821440165) is an individual case management provider in Apple Valley, Minnesota, licensed in Minnesota (R-173422-7) and active in the NPI registry since July 2016.
NPPES Registry Identity
NPI1821440165
Entity TypeIndividualFemale
Primary Taxonomy163WC0400X
Provider Legal NameLISA MOONCredential: RN
Location Address13723 FINDLAY AVEApple Valley, MN 55124-8070
Mailing Address13723 Findlay AveApple Valley, MN 55124-8070 · (952) 913-7263
Phone(952) 913-7263
Sole ProprietorYes
Enumeration DateJuly 11, 2016
✔ NPI 1821440165 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Case ManagementNursing Service Providers
Taxonomy Code163WC0400X
Licenses✔ Licensed in MN · R-173422-7✔ Licensed in MI · 4704169177
13723 FINDLAY AVE, Apple Valley, MN 55124
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821440165, enumerated as an "individual" on July 11, 2016.
The provider is located at 13723 FINDLAY AVE APPLE VALLEY, MN 55124 and the phone number is (952) 913-7263.
Registered Nurse with taxonomy code 163WC0400X and a focus in Case Management.
