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

Mrs. Lisa Moon, REGISTEREDNURSE

Individual provider Registered Nurse · NPI 1164046769

Mrs. Lisa Moon, REGISTEREDNURSE is a Registered Nurse in Palmyra, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020

Practice location Address checks out

2584 Maple Ave
Palmyra, NY 14522-9372
Phone: (315) 573-0203
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 558547 (NY)

Record details

NPI number1164046769
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDNURSE
Sole proprietorYes
NPI enumeratedMay 31, 2020
Last updated in NPPESMay 31, 2020
Certification dateMay 31, 2020

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