Individual
MS. ELIZABETH MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
333 MONTANO RD NW STE A1, ALBUQUERQUE, NM 87107-5200
(505) 777-3003
(505) 808-4976
Mailing address
PO BOX 740018, ATLANTA, GA 30374-0018
(312) 733-9730
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
56735
NM
Other
Enumeration date
07/01/2019
Last updated
10/14/2021
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