ABIGAIL LEE MORENO (NPI# 1306491113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306491113 |
| Entity Type | Individual |
| Full Name | ABIGAIL LEE MORENO |
| Credential | FNP |
| Practice Address |
7525 E Broadway Rd Ste 11 Mesa AZ 85208-1156 |
| Mailing Address |
105 S Delaware Dr Ste 1 Apache Junction AZ 85120-6512 |
| Practice Telephone | 4806461001 |
| Mailing Telephone | 4806461001 |
| Mailing Fax Number | 4806461002 |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2020-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
231654 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 105 S Delaware Dr Ste 2, Apache Junction, AZ 851206512 | 4806461001 | 4806461002 |
| Street Address |
7525 E BROADWAY RD STE 11 |
| City | MESA |
| State | AZ |
| Zip Code | 85208-1156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457839896 | Noah Kipkorir Sang | Nurse Practitioner | 7525 E Broadway Rd Ste 11, Mesa, AZ 85208-1156 | 2018-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588203723 | Southwest Cardiovascular Interventional Center, LLC | Clinic/Center | 7529 E Broadway, Mesa, AZ 85208 | 2020-01-06 |
| 1760021802 | Southwest Endovascular Center, LLC | Clinic/Center | 7529 E Broadway Rd, Mesa, AZ 85208 | 2020-01-06 |
| 1083116529 | Hailey Jo Kools | Specialist/Technologist | 11201 N Tatum Boulevard, Phoenix, AZ 85208 | 2018-03-01 |
| 1356881486 | Amber E Anderson | Nurse Practitioner | 1157 S Crismon Rd Ste 101, Mesa, AZ 85208 | 2017-03-08 |
| 1609264464 | Desert House Assisted Living LLC | Assisted Living Facility | 11055 E Grove St, Mesa, AZ 85208 | 2015-01-02 |
| 1366881872 | Freedom Az, LLC | Non-emergency Medical Transport (VAN) | 10682 E Oasis Dr, Mesa, AZ 85208 | 2013-06-18 |
| 1588922884 | Aaron David Hallstrom | Counselor | 158 S Hassett Cir, Mesa, AZ 85208 | 2012-04-25 |
| 1568604593 | David Berrey | Internal Medicine | 1917 South Crismon Rd., Mesa, AZ 85208 | 2009-04-06 |
| 1740475946 | Jackton Simiyu Khausi | Occupational Therapist | 7255 E Broadway, Mesa, AZ 85208 | 2007-09-11 |
| 1881896900 | Kate N Mullowney | Pharmacist | 10238 E Hampton Avenue, Suite 107, Mesa, AZ 85208 | 2007-06-01 |
| Find all providers in zip 85208 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864202 | Soma Care, LLC | Nurse Practitioner | 6944 E Broadway Rd Ste A, Mesa, AZ 85208-1916 | 2020-08-31 |
| 1245851955 | Amy Rachelle Dunn | Nurse Practitioner | 7563 E Plata Ave, Mesa, AZ 85212-9729 | 2020-05-04 |
| 1326683376 | Little Sanctuary Health Center | Nurse Practitioner | 840 W Southern Ave, Mesa, AZ 85210-4901 | 2019-11-14 |
| 1306356746 | Christine Elizabeth Claybrook | Nurse Practitioner | 6859 E Rembrandt Ave Ste 117, Mesa, AZ 85212-3630 | 2017-10-11 |
| 1073041331 | Michelle Resendez | Nurse Practitioner | 2500 S Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 | 2017-05-31 |
| 1730320623 | Kay Lynn Southwell | Nurse Practitioner | 6242 E Arbor Ave Suite 111, Mesa, AZ 85206-2809 | 2009-03-23 |
| 1932623469 | John Risi | Nurse Practitioner | 2266 S Dobson Rd Ste 200, Mesa, AZ 85202 | 2017-07-26 |
| 1154774305 | Mesa Physical Medicine Pllc | Nurse Practitioner | 2919 S Ellsworth Rd, Suite 102, Mesa, AZ 85212-2164 | 2016-07-22 |
| 1720467418 | Sung E Cho | Nurse Practitioner | 1705 W Main St, Mesa, AZ 85201-6920 | 2015-05-27 |
| 1770810715 | Priscilla Marie Luong | Nurse Practitioner | 5602 E Main St, Mesa, AZ 85205-8813 | 2009-11-12 |
| Find all providers in MESA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.