Individual
DR. MIGUEL ANGEL DE LA MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, PMHNP
Contact information
Practice address
1550 S PIONEER WAY STE 165, MOSES LAKE, WA 98837-4637
(509) 910-4559
(509) 447-7455
Mailing address
1030 N CENTER PKWY STE 113, KENNEWICK, WA 99336-7160
(509) 910-4559
(509) 447-7455
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61485710
WA
Other
Enumeration date
09/07/2023
Last updated
11/27/2025
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