DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: EVELYN MOORE

MEDICARE: EVELYN 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
1164W00000XLicensed Practical Nurse071815NY

General Provider Information

NPI Number : 1154577286
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVELYN MOORE
Provider Business Mailing Address
First Line : PO BOX 148
Second Line :
City : RENSSELAER
State : NY
Zip : 12144-0148
Country : US
Telephone Number : 518-449-1142
Fax Number :
Provider Business Practice Location Address
First Line : 87 WASHINGTON ST
Second Line :
City : RENSSELAER
State : NY
Zip : 12144-2613
Country : US
Telephone Number : 518-449-1142
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2008
Last Update Date : 08/08/2008

Similar Medicare Providers

1417212861 — RICHARD A PATENAUDE JR.
Practice Location Address:
87 WASHINGTON ST
RENSSELAER, NY
12144-2613
Practice Phone: 518-449-1142
Practice Fax: 518-449-1320
1912162389 — LORI BATTISTONI
Practice Location Address:
87 WASHINGTON ST
RENSSELAER, NY
12144-2613
Practice Phone: 518-449-1142
Practice Fax:
1043466113 — SHARON MCNAMARA
Practice Location Address:
87 WASHINGTON ST
RENSSELAER, NY
12144-2613
Practice Phone: 518-449-1142
Practice Fax:
1750537890 — SUSAN TEATOR
Practice Location Address:
87 WASHINGTON ST
RENSSELAER, NY
12144-2613
Practice Phone: 518-449-1142
Practice Fax:
1255587390 — KATHLEEN CATONE
Practice Location Address:
87 WASHINGTON ST
RENSSELAER, NY
12144-2613
Practice Phone: 518-449-1142
Practice Fax:
1538315619 — KAREN ANGELL
Practice Location Address:
87 WASHINGTON ST
RENSSELAER, NY
12144-2613
Practice Phone: 518-449-1142
Practice Fax:

Directions to “ EVELYN MOORE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.