Individual
REBECCA GAYLIE MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
13348 S MARKET CENTER DR STE 220, RIVERTON, UT 84065-8011
(385) 290-1289
Mailing address
13348 S MARKET CENTER DR STE 220, RIVERTON, UT 84065-8011
(385) 290-1289
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10376609-4405
UT
363LF0000X
Family Nurse Practitioner
1167368
TX
Other
Enumeration date
06/29/2023
Last updated
09/17/2025
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