Individual provider · Type 1 NPI
Sasha L. Moredock, APN
Family Nurse Practitioner · New York, NY
NPI number
1700252822
Active
Practice location
287 Park Ave S Fl 5
New York, NY 10010-4573
Fax (857) 305-0177
Mailing address
5304 N Woodview Ave
Peoria, IL 61614-4559
Other practice locations
- 5111 N Glen Park Place Rd, Peoria, IL 61614-4675 · (309) 683-5700
- 21660 W Field Pkwy, Deer Park, IL 60010-7265 · (309) 453-0196
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 350128 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | 209013058 (IL) |
| Family Nurse Practitioner | 363LF0000X | 1016060 (TX) |
Family Nurse Practitioner: Definition to come...
4 other providers at this address
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About NPI 1700252822
Sasha L. Moredock, APN's National Provider Identifier is 1700252822, issued on Aug 12, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New York, NY. The record was last updated on Aug 12, 2026.