Sandra Kay Moreo, LPN
Individual provider Active NPI Licensed Practical Nurse · Continental, OH
NPI 1003214644 · NPPES record last updated Dec 14, 2014
Key facts
- NPI
- 1003214644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN.139149-M-IV (OH)
- Practice address
- 207 N River St
Continental, OH 45831-8952 - Phone
- (419) 969-0685
- NPI assigned
- Dec 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN.139149-M-IV | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN.139149-M-IV | OH | Yes |
Addresses
Primary practice location
207 N River St
Continental, OH 45831-8952
Mailing address
207 N River St
Continental, OH 45831-8952
Phone (419) 969-0685
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PN.139149-M-IV | Medicaid | OH |
Other providers in Continental, OH
- Carley Hermiller
- Stacie Hicks
- Hicksfamilymedicineohio, LLC
- Beverly King
- Modern Eyecare LLC
- Kristy Lea Nartker
- Monica Newosme
- Carla Niese
- Okuleys Pharmacy Inc.
- Okuleys Pharmacy Inc.
All providers in Continental, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.