Individual provider · Type 1 NPI
Sofia Lucina Moran, PMHNP
Psychiatric/Mental Health Nurse Practitioner · San Bernardino, CA
NPI number
1104672930
Active
Practice location
473 E. Carnegie Drive, Suite 200
San Bernardino, CA 92408
Fax (840) 223-5913
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95029887 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1104672930
Sofia Lucina Moran, PMHNP's National Provider Identifier is 1104672930, issued on Apr 24, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Bernardino, CA. The record was last updated on Dec 1, 2024.