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

Ethan Richard Moore, RN

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1972399624

Ethan Richard Moore, RN is a Student in an Organized Health Care Education/Training Program in Lorain, Ohio. Licensed in Ohio. Registered with an NPI since 2025.

Licensed in
OH
In the registry since
2025
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

3700 Kolbe Rd
Lorain, OH 44053-1611
Phone: (440) 960-3054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (OH)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence RN.494812 (OH)

Record details

NPI number1972399624
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedApril 18, 2025
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026
Mailing address20800 Hawley Rd, Wellington, OH 44090-9411

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