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

Tracy Moore

Individual provider Licensed Practical Nurse · NPI 1598130395

Tracy Moore is a Licensed Practical Nurse in Otisville, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015
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Practice location Address checks out

2 Laura Ln
Otisville, NY 10963-2316
Phone: (845) 412-5414
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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 316043 (NY)

Record details

NPI number1598130395
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 4, 2015
Last updated in NPPESDecember 4, 2015

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