Most Relevant Information
Provider Data
| NPI Number: | 1003417072 |
| Provider Name: | CARMEN MORENO APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | 11010028 |
Most Important Dates
| Enumeration Date: | 11/05/2020 |
| Last Updated: | 11/05/2020 |
Provider Practice Location
336 GOLFVIEW RD APT 909
NORTH PALM BEACH
FL
334083512
Practice Location Phone/Fax
| Phone: | 5613600955 |
| Fax: |
Provider Mailing Location
336 GOLFVIEW RD APT 909
NORTH PALM BEACH
FL
334083512
Provider Mailing Phone/Fax
| Phone: | 5613600955 |
| Fax: |