Individual provider · Type 1 NPI
Mia Moran
Family Nurse Practitioner · Las Vegas, NV
NPI number
1619735131
Active
Practice location
4425 S Pecos Rd Ste 3
Las Vegas, NV 89121-5039
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse | 163WG0000X | RN97732 (NV) |
| Family Nurse Practitioner Primary | 363LF0000X | 876691 (NV) |
Family Nurse Practitioner: Definition to come...
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About NPI 1619735131
Mia Moran's National Provider Identifier is 1619735131, issued on Mar 11, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Las Vegas, NV. The record was last updated on Aug 11, 2024.