Individual provider · Type 1 NPI

Jeanine Moreno, NP

Gerontology Nurse Practitioner · Duarte, CA

NPI number 1629406483 Active

Practice location

1500 Duarte Rd
Duarte, CA 91010-3012

Mailing address

PO Box 512185
Los Angeles, CA 90051-0185

Other practice locations

  • 1245 16th St, #204, Santa Monica, CA 90404-1235 · (310) 319-3222

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X821707 (CA)
Gerontology Nurse Practitioner Primary 363LG0600X95000157 (CA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1629406483

Jeanine Moreno, NP's National Provider Identifier is 1629406483, issued on Oct 14, 2013. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Duarte, CA. The record was last updated on Nov 18, 2020.