Individual
ILKA MAYELA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
13640 N 99TH AVE STE 600, SUN CITY, AZ 85351-2867
(623) 972-2116
(623) 972-0521
Mailing address
3020 E CAMELBACK RD STE 301, PHOENIX, AZ 85016-4418
(602) 264-9100
(602) 264-9101
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
245453
AZ
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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