ILKA MAYELA MORENO CNP NPI 1396343430

NPI Information

NPI: 1396343430
Provider Name: ILKA MAYELA MORENO, CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
13640 N 99TH AVE STE 600
SUN CITY, AZ
ZIP 85351
Phone: (623) 972-2116
Get Directions

Ilka Mayela Moreno, CNP is a family nurse practitioner in Sun City, AZ with 4 years of experience. Ilka Mayela Moreno, CNP NPI is 1396343430. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13640 N 99TH AVE STE 600
SUN CITY, AZ
ZIP 85351-867
Phone: (623) 972-2116
Fax: (623) 972-0521

The NPI 1396343430 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/12/2020 and was last updated on 10/12/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	245453	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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