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

Havona Moore

Individual provider Licensed Practical Nurse · NPI 1174475040

Havona Moore is a Licensed Practical Nurse in Maplewood, Minnesota. Licensed in Minnesota. Registered with an NPI since 2026.

Licensed in
MN
In the registry since
2026

Practice location Address checks out

3100 Kennard St
Maplewood, MN 55109-5465
Phone: (651) 225-5456
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 L-625029 (MN)

Record details

NPI number1174475040
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 12, 2026
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026
Mailing address3100 Kennard St, Maplewood, MN 55109-5465

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