Individual
LEILANI MORAUSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
CORNER OF N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8625
Mailing address
PO BOX 3201, FORT DEFIANCE, AZ 86504-3201
(909) 723-4682
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
928876
TX
163WP0200X
Pediatric Registered Nurse
928876
TX
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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