Individual
MANDY MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2775 S 8TH AVE, YUMA, AZ 85364-7110
(928) 341-0700
Mailing address
2775 S 8TH AVE, YUMA, AZ 85364-7110
(928) 341-0700
(928) 341-0900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP8565
AZ
Other
Enumeration date
03/30/2016
Last updated
09/24/2019
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