Individual
KATHERINE MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11101 SW 110TH RD, MIAMI, FL 33176-3123
(516) 476-0765
Mailing address
11101 SW 110TH RD, MIAMI, FL 33176-3123
(516) 476-0765
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN9393218
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11041908
FL
Other
Enumeration date
09/05/2024
Last updated
08/27/2025
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