Individual
ALICIA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1600 MONTANA AVE, EL PASO, TX 79902-5622
(915) 613-6080
Mailing address
201 E MAIN DR, SUITE 600, EL PASO, TX 79901-1340
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP125635
TX
Other
Enumeration date
07/22/2014
Last updated
01/26/2017
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