Individual
ALEJANDRO MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 S 2000 E, SALT LAKE CITY, UT 84112-5880
(801) 581-2121
Mailing address
10708 S OQUIRRH LAKE RD, SOUTH JORDAN, UT 84009-6011
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
8406658-3102
UT
363L00000X
Nurse Practitioner
Primary
140410334405
UT
Other
Enumeration date
04/26/2023
Last updated
07/30/2025
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