Moore, Kanasha

Moore, Kanasha is an individual health care provider with primary practice located at 100 Broadway Ste A , Elmwood Park NJ 07407-3088. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Moore, Kanasha can be contacted via phone (201) 749-2045.

Contact Information

Primary practice address
100 Broadway Ste A Elmwood Park NJ 07407-3088
Phone: (201) 749-2045
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 26NP07724100 New Jersey

Profile Details

NPI number 1245910934
LBN Legal business name Moore, Kanasha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2023
Last updated Jul 19th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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