Alicia Weger Moore, L.V.N.
Individual provider Active NPI Licensed Vocational Nurse · Pinedale, CA
NPI 1033427992 · NPPES record last updated Jul 29, 2015
Key facts
- NPI
- 1033427992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 252775 (CA)
- Practice address
- 40 E Minarets Ave
Pinedale, CA 93650-1239 - Phone
- (559) 436-0482
- NPI assigned
- Sep 14, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 252775 | CA | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 252775 | CA | Yes |
Addresses
Primary practice location
40 E Minarets Ave
Pinedale, CA 93650-1239
Mailing address
40 E Minarets Ave
Pinedale, CA 93650-1239
Phone (559) 436-0482
Other providers in Pinedale, CA
- Carla Kay Magdaleno
- Tiffany Dawn Manilla
- George Albert Martinez
- Amelia Mendoza
- James Molina
- Llarelic Ochoa
- Gabriela Pena
- Angelica Maria Perez
- Rufino Perez Jr.
- Yolanda Ramos
All providers in Pinedale, CA · Licensed Vocational Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2015. 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.