Individual provider · Type 1 NPI

Judy Aivette Moreno, CRNP-FAMILY

Family Nurse Practitioner · Baltimore, MD

NPI number 1508424128 Active

Practice location

301 Saint Paul St
Baltimore, MD 21202-2102

Fax (410) 332-9789

Mailing address

4513 Gina Ct
Baltimore, MD 21237-3702

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR176392 (MD)

Family Nurse Practitioner: Definition to come...

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About NPI 1508424128

Judy Aivette Moreno, CRNP-FAMILY's National Provider Identifier is 1508424128, issued on May 29, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Baltimore, MD. The record was last updated on May 29, 2019.