MEDICARE: LARNITA M MOSES STNA

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	376K00000X	Nurse's Aide	400086040202	OH

General Provider Information

NPI Number	:	1619774189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LARNITA M MOSES STNA

Provider Business Mailing Address
First Line	:	3212 GILBERT AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45207-1414
Country	:	US
Telephone Number	:	513-289-1222
Fax Number	:

Provider Business Practice Location Address
First Line	:	3212 GILBERT AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45207-1414
Country	:	US
Telephone Number	:	513-289-1222
Fax Number	:

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

Provider Enumeration Date	:	03/03/2025
Last Update Date	:	03/03/2025

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Directions to “ LARNITA M MOSES STNA” Practice Location

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