Mr Gaston A Moore Jr, LPN - Licensed Vocational Nurse in Phoenix, AZ

Mr Gaston A Moore Jr, LPN is a Licensed Vocational Nurse based in Phoenix, Arizona. Mr Gaston A Moore Jr is licensed to practice in Arizona (license number LP039366) and his current practice location is 1702 W Tuckey Ln, Phoenix, Arizona. He can be reached at his office (for appointments etc.) via phone at (602) 518-5910.

NPI number for Mr Gaston A Moore Jr is 1760717797 and his current mailing address is 1702 W Tuckey Ln, Phoenix, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760717797.

Contact Information

Mr Gaston A Moore Jr, LPN
1702 W Tuckey Ln,
Phoenix, AZ 85015-1715
(602) 518-5910
Not Available

Map and Direction




Provider's Profile

Full NameMr Gaston A Moore Jr
GenderMale
SpecialityLicensed Vocational Nurse
Location1702 W Tuckey Ln, Phoenix, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1760717797
  • Provider Enumeration Date: 10/08/2009
  • Last Update Date: 10/08/2009

Medical Identifiers

Medical identifiers for Mr Gaston A Moore Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760717797NPI-NPPES
LP039366OtherAZLPN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164X00000XLicensed Vocational Nurse LP039366 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Gaston A Moore Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Gaston A Moore Jr, LPN
1702 W Tuckey Ln,
Phoenix, AZ 85015-1715

Ph: (602) 518-5910
Mr Gaston A Moore Jr, LPN
1702 W Tuckey Ln,
Phoenix, AZ 85015-1715

Ph: (602) 518-5910

Reviews and Comments


Licensed Vocational Nurse Nurses in Phoenix, AZ

Amber M Booth,
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Phone: 602-455-6700    
Ms. Bethaney Daniel, LVN
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Medicare: Not Enrolled in Medicare
Practice Location: 4745 N 7th St Ste 432, Phoenix, AZ 85014
Phone: 602-433-1200    

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