Individual provider · Type 1 NPI

Manuel A. Moreno, N.P.

Adult Health Nurse Practitioner · San Diego, CA

NPI number 1275991929 Active

Practice location

1855 1st Ave, 200-B
San Diego, CA 92101-2685

Fax (619) 233-4144

Mailing address

PO Box 232410, 200-B
San Diego, CA 92193-2410

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X695565 (CA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1275991929

Manuel A. Moreno, N.P.'s National Provider Identifier is 1275991929, issued on Feb 9, 2016. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in San Diego, CA. The record was last updated on Dec 9, 2016.