Individual provider · Type 1 NPI
Misty Dawn Mora, CPNP-PC
Pediatric Nurse Practitioner · Anthony, NM
NPI number
1639538424
Active
Practice location
1265 Anthony Dr.
Anthony, NM 88021-4530
Fax (575) 882-1863
Mailing address
P.o. Box 4530
Anthony, TX 79821-4530
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AP129834 (TX) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | CNP-02836 (NM) |
Pediatric Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1639538424
Misty Dawn Mora, CPNP-PC's National Provider Identifier is 1639538424, issued on Feb 22, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Anthony, NM. The record was last updated on Apr 23, 2018.