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

Individual provider Licensed Practical Nurse · NPI 1376785824

Mr. Phillip Titus Moore, LPN is a Licensed Practical Nurse in Cleveland, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2009
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

14401 Idarose Ave
Cleveland, OH 44110-3648
Phone: (216) 965-9273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 122898 (OH)

Record details

NPI number1376785824
Entity typeIndividual (Type 1)
GenderMale
Credentials LPN
Sole proprietorYes
NPI enumeratedMarch 30, 2009
Last updated in NPPESMarch 30, 2009

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