Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISTY DAWN MORA, CPNP-PC
Active Sole ProprietorMISTY DAWN MORA, CPNP-PC is a Pediatric Nurse Practitioner healthcare provider located in ANTHONY, New Mexico. NPI 1639538424 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · ANTHONY, NM
Registration Details
- NPI Number
- 1639538424
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 22, 2016 (10.436476564657 yrs)
- Last Updated
- Apr 23, 2018
- Licenses
-
AP129834 (TX)CNP-02836 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1265 ANTHONY DR.ANTHONY, NM, 880214530Browse NM providers · Browse ZIP 88021
- Phone
- 5758822956
- Fax
- 5758821863
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
- Additional Specialty
- Pediatric Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.