IndividualActive
Connie Moore
NPI 1104438688 · Licensed Practical Nurse · Washington, DC
Provider details
- NPI number
- 1104438688
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- LPN1008911 (DC)
Specialties & taxonomies
Nursing Service Providers
Practice location
1100 New Jersey Ave Se Ste 845
Washington, DC 20003-3338
Phone: (202) 545-6980
Approximate (ZIP-level) locationGet directions
Mailing address
1100 New Jersey Ave Se Ste 845
Washington, DC 20003-3338
Registry dates
- Enumerated
- 2020-08-17
- Last updated
- 2020-08-17
- Certified
- 2020-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.