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Individual

CARLOS X MORENO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
520 VALLEY VIEW DR, MOLINE, IL 61265-6152
(309) 762-3621
Mailing address
5250 COMPETITION DR STE 100, BETTENDORF, IA 52722-8837
(635) 322-0971
(563) 324-0615

Taxonomy

Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
209008943
IL
163WP0000X
Pain Management Registered Nurse
D164283
IA
363L00000X
Nurse Practitioner
209008943
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
041353932
IL

Other

Enumeration date
08/30/2011
Last updated
03/05/2026
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