Individual
STEPHANIE MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
401 NC 54 APT D1, CARRBORO, NC 27510-2145
(980) 293-2565
Mailing address
401 NC 54 APT D1, CARRBORO, NC 27510-2145
(980) 293-2565
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
533032
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
533032
NORTH CAROLINA NURSE AID I REGISTRY
NC
Enumeration date
12/29/2021
Last updated
12/29/2021
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