Moore, Mary Alma

Moore, Mary Alma is an individual health care provider with primary practice located at 607 E Apache St , Farmington NM 87401-6925. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Moore, Mary Alma can be contacted via phone (505) 326-2012.

Contact Information

Primary practice address
607 E Apache St Farmington NM 87401-6925
Phone: (505) 326-2012
Fax: (505) 326-2939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 11854 Idaho

Profile Details

NPI number 1457946170
LBN Legal business name Moore, Mary Alma
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2021
Last updated Mar 4th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457946170 NPPES
New Mexico Other 15072340 CAQH

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