MARTHA MORENO FLOCK NPI 1992416317

NPI Information

NPI: 1992416317
Provider Name: MARTHA MORENO FLOCK
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
305 PACIFIC AVE S
KELSO, WA
ZIP 98626
Phone: (360) 425-5378
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Martha Moreno Flock is a licensed practical nurse in Kelso, WA. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Martha Moreno Flock NPI is 1992416317. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

305 PACIFIC AVE S
KELSO, WA
ZIP 98626-638
Phone: (360) 425-5378

The enumeration date for this NPI number is 12/6/2022 and was last updated on 12/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	164W00000X	Licensed Practical Nurse		00050860	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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