Individual provider · Type 1 NPI

Shabnam Mahmood Moledina, N.P.

Nurse Practitioner · La Verne, CA

NPI number 1619212081 Active

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

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X21922 (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.