MEDICARE: MARLENA MOORE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN677641	PA

General Provider Information

NPI Number	:	1871451393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARLENA MOORE

Provider Business Mailing Address
First Line	:	1145 MARGRAY ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15207-2234
Country	:	US
Telephone Number	:	412-452-7801
Fax Number	:

Provider Business Practice Location Address
First Line	:	1145 MARGRAY ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15207-2234
Country	:	US
Telephone Number	:	412-452-7801
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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Directions to “ MARLENA MOORE ” Practice Location

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