NPI 1457946170

Mary Alma Moore, LPN

Practitioner Licensed Practical Nurse Farmington, NM

Practice location

Address: 607 E Apache St, Farmington, NM 87401-6925
Phone: (505) 326-2012
Fax: (505) 326-2939

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 11854 (ID)

Other Licensed Practical Nurse providers in New Mexico →

Registry record

NPI: 1457946170
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Mar 2021
Record last updated: 4 Mar 2021

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.