Individual
LETICIA MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
350 W THOMAS RD # 6NST, PHOENIX, AZ 85013-4409
(602) 406-3000
Mailing address
240 W THOMAS RD # 301, PHOENIX, AZ 85013-4407
(602) 406-7765
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
285068
AZ
363LF0000X
Family Nurse Practitioner
Primary
285068
AZ
Other
Enumeration date
12/21/2022
Last updated
11/27/2024
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