Katie Rae Moore, LPN Valid NPI

Individual provider · Licensed Practical Nurse · Fort Wayne, IN

NPI

1619671583

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

27078323A (IN)

Sex

Female

Sole proprietor

No

Enumerated

2023-03-27

Last updated

2023-03-27