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

Mrs. Nyeasha Nicole Moore, LVN

Individual provider Licensed Vocational Nurse · NPI 1164362117

Mrs. Nyeasha Nicole Moore, LVN is a Licensed Vocational Nurse in Los Angeles, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026
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

12021 Wilmington Ave Bldg 18
Los Angeles, CA 90059-3019
Phone: (424) 454-6042
Show map & directions

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

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence VN754219 (CA)

Record details

NPI number1164362117
Entity typeIndividual (Type 1)
GenderFemale
Credentials LVN
Sole proprietorNo
NPI enumeratedMarch 30, 2026
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026

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