Individual provider · Type 1 NPI
Shabnam Mahmood Moledina, N.P.
Nurse Practitioner · La Verne, CA
Practice location
1502 Arrow Hwy
La Verne, CA 91750-5318
Fax (909) 593-5588
Mailing address
26520 Cactus Ave
Moreno Valley, CA 92555-3927
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 21922 (CA) |
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…
About NPI 1619212081
Shabnam Mahmood Moledina, N.P.'s National Provider Identifier is 1619212081, issued on Dec 11, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in La Verne, CA. The record was last updated on Dec 11, 2012.