Individual
LAUREL ANN MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1155 S POWER RD STE 114-410, MESA, AZ 85206-3715
(800) 402-0881
Mailing address
1155 S POWER RD STE 114-410, MESA, AZ 85206-3715
(800) 402-0881
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN147283
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
259881
AZ
Other
Enumeration date
02/23/2021
Last updated
01/29/2026
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