Pamela Moran
Individual provider Active NPI Licensed Practical Nurse · Garrison, NY
NPI 1104284264 · NPPES record last updated Feb 4, 2016
Key facts
- NPI
- 1104284264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 145047-1 (NY)
- Practice address
- 18 Forsonville LN
Garrison, NY 10524-3845 - Phone
- (845) 424-4924
- NPI assigned
- Feb 4, 2016
- 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 |
|---|---|---|---|
| 145047-1 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 145047-1 | NY | Yes |
Addresses
Primary practice location
18 Forsonville LN
Garrison, NY 10524-3845
Mailing address
18 Forsonville LN
Garrison, NY 10524-3845
Phone (845) 424-4924
Other providers in Garrison, NY
- Michael McKee
- Marietta McWade
- Jaclynn Marrie Meindl
- Melissa Meyers
- Patricia Ann Mondini
- Nancy M O'Donnell
- Mary E. O'Hara
- People Incorporated
- Christina Popovich
- Melanie Quezada
All providers in Garrison, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2016. 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.