Individual provider · Type 1 NPI
Kylie Moberg
Family Nurse Practitioner · Canyon Lake, CA
NPI number
1750218848
Active
Practice location
22725 Canyon Lake Dr N
Canyon Lake, CA 92587-8014
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95024464 (CA) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Canyon Lake
About NPI 1750218848
Kylie Moberg's National Provider Identifier is 1750218848, issued on May 5, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Canyon Lake, CA. The record was last updated on May 5, 2026.