Individual
MRS. MIRELA LIANA MOGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1800 E VAN BUREN ST, PHOENIX, AZ 85006-3742
(602) 251-8624
Mailing address
16859 W TONBRIDGE ST, SURPRISE, AZ 85374-0832
(623) 544-1539
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP8459
AZ
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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