Whalio Doctors

NPI 1053673467

Amanda Jo Moffitt, LPN

Practitioner Licensed Practical Nurse Weedsport, NY

Practice location

Address
3619 Chamberlin Rd., Weedsport, NY 13166
Phone
(315) 237-2140
Mailing address
3619 Chamberlin Road, Weedsport, NY 13166

Registered specialties

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence 302785-1 (NY)

Registry record

NPI
1053673467
Entity type
Individual
Sex (as registered)
Female
NPI issued
12 Jun 2012
Record last updated
12 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.