Individual provider · Type 1 NPI

Tina Marie Moran, ACNP

Nurse Practitioner · North Port, FL

NPI number 1407042930 Active

Practice location

2565 N Toledo Blade Blvd
North Port, FL 34289-9306

Fax (941) 237-5737

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X11026700 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1407042930

Tina Marie Moran, ACNP's National Provider Identifier is 1407042930, issued on Sep 18, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in North Port, FL. The record was last updated on Oct 8, 2026.