Individual
KAREN THAO MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-6345
(602) 933-8975
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
304532
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186080
—
AZ
Enumeration date
04/03/2024
Last updated
06/26/2025
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