Crystal Chantel Moore

Licensed Practical Nurse · Willoughby Hills, OH

Individual Active NPI

NPI number 1033617675

Practice location

2260 Par Ln
H 911
Willoughby Hills, OH 44094-2966
Phone
(910) 546-7997

Open in Google Maps

NPI record

NPI
1033617675
Entity type
Individual (Type 1)
Enumeration date
January 29, 2018
Last updated
January 29, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary 164W00000X 161915 OH

About Crystal Moore

Crystal Chantel Moore is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 2260 Par Ln, H 911, Willoughby Hills, OH 44094-2966. The NPI number 1033617675 was assigned on January 29, 2018 and the record was last updated on January 29, 2018.

Crystal Moore lists a license in the registry: #161915 (OH) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Crystal Chantel Moore?

The NPI number is 1033617675.

What is the phone number of Crystal Moore?

The phone number listed for the practice location is (910) 546-7997.

Where is Crystal Moore located?

2260 Par Ln, H 911, Willoughby Hills, OH 44094-2966.

What is the taxonomy code for Crystal Moore?

The primary taxonomy code is 164W00000X – Licensed Practical Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Licensed Practical Nurse providers in Willoughby Hills

All Licensed Practical Nurse providers in Willoughby Hills, OH →