Individual provider · Type 1 NPI

Ezequiel R. Mora, APRN FNP-BC

Family Nurse Practitioner · Sycamore, IL

NPI number 1912641879 Active

Practice location

954 W State St
Sycamore, IL 60178-1335

Mailing address

1373 Omega Circle Dr
Dekalb, IL 60115-5832

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X041.408204 (IL)
Family Nurse Practitioner Primary 363LF0000X209.025250 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1912641879

Ezequiel R. Mora, APRN FNP-BC's National Provider Identifier is 1912641879, issued on Apr 26, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Sycamore, IL. The record was last updated on May 27, 2022.