Individual
LISA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4357 CORPORATE CENTER DR STE 450, NORTH LAS VEGAS, NV 89030-0226
(702) 644-4673
Mailing address
4357 CORPORATE CENTER DR STE 450, NORTH LAS VEGAS, NV 89030-0226
(702) 644-4673
(702) 902-4453
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN002443
NV
Other
Enumeration date
01/23/2017
Last updated
01/26/2017
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