Lisa Moore, RN
Individual provider Active NPI Community Health Registered Nurse · Asbury, IA
NPI 1255705299 · NPPES record last updated Nov 13, 2015
Key facts
- NPI
- 1255705299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- 119904 (IA)
- Practice address
- 5900 Saratoga Rd
#11
Asbury, IA 52002-2124 - Phone
- (563) 231-3521
- Fax
- (563) 231-3522
- NPI assigned
- Nov 13, 2015
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119904 | IA | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 119904 | IA | Yes |
Addresses
Primary practice location
5900 Saratoga Rd
#11
Asbury, IA 52002-2124
Mailing address
2005 Asbury Rd
Dubuque, IA 52001-3042
Phone (563) 583-7357
Other providers in Asbury, IA
- Kelly Landphier
- Martin Luther Home Corporation
- Edward Matovu
- Mental Health Solutions
- Dione Renee Miller
- Claire M Nemmers
- Allison Prybil
- Restore and Renew Physical Therapy, LLC
- Seth Scott
- Kassidee Steve
All providers in Asbury, IA · Community Health Registered Nurse in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 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.