IndividualActive
Amy Moore, LPN
NPI 1811718208 · Licensed Practical Nurse · Pryor, OK
Provider details
- NPI number
- 1811718208
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- License
- L0056888 (OK)
Specialties & taxonomies
Nursing Service Providers
Practice location
109 N Fairland St
Pryor, OK 74361-4205
Phone: (918) 825-1405
Approximate (ZIP-level) locationGet directions
Mailing address
109 N Fairland St
Pryor, OK 74361-4205
Registry dates
- Enumerated
- 2024-10-18
- Last updated
- 2024-10-18
- Certified
- 2024-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.