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

Mickalla Moore, LVN

Individual provider Licensed Vocational Nurse · NPI 1346042512

Mickalla Moore, LVN is a Licensed Vocational Nurse in Anderson, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
What do these letters mean?
LVN — Licensed Vocational Nurse
The same role as an LPN; the title used in California and Texas.

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Practice location Address checks out

1901 Barney Rd
Anderson, CA 96007-4301
Phone: (530) 410-2290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 740224 (CA)

Record details

NPI number1346042512
Entity typeIndividual (Type 1)
GenderFemale
Credentials LVN
Sole proprietorNo
NPI enumeratedMarch 26, 2025
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025
Mailing address1640 Victor Ave Apt 50, Redding, CA 96003-4050

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