NPI 1639538424

Misty Dawn Mora, CPNPPC

Practitioner Pediatric Nurse Practitioner Anthony, NM

Practice location

Address: 1265 Anthony Dr., Anthony, NM 88021-4530
Phone: (575) 882-2956
Fax: (575) 882-1863
Mailing address: P.O. Box 4530, Anthony, TX 79821-4530

Registered specialties (2)

Pediatric Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0200X Licence CNP-02836 (NM)

Other Nurse Practitioner providers in New Mexico →

Pediatric Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0200X Licence AP129834 (TX)

Registry record

NPI: 1639538424
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Feb 2016
Record last updated: 23 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.