Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crystal Chantel Moore

Individual provider Licensed Practical Nurse · NPI 1033617675

Crystal Chantel Moore is a Licensed Practical Nurse in Willoughby Hills, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2018

Practice location Address checks out

2260 Par Ln H 911
Willoughby Hills, OH 44094-2966
Phone: (910) 546-7997
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 161915 (OH)

Record details

NPI number1033617675
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 29, 2018
Last updated in NPPESJanuary 29, 2018
Mailing address2260 Par Ln, H 911, Willoughby Hills, OH 44094-2966

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