person
Misty Dawn Mora, CPNP-PC
Pediatric Nurse Practitioner in Anthony, New Mexico
NPI 1639538424

Misty Dawn Mora is a Pediatric Nurse Practitioner based in Anthony, NM and is specialized in Pediatrics. Misty Dawn Mora practices in Anthony, NM and has the professional credentials of CPNP-PC. The NPI Number for Misty Dawn Mora is 1639538424 and holds a License No. AP129834 (New Mexico).

The current practice location address for Misty Dawn Mora is 1265 Anthony Dr., Anthony, NM and can be reached out via phone at 575-882-2956 and via fax at 575-882-1863.

Location: 1265 Anthony Dr., Anthony, NM, 79821-4530
person
Provider Profile Details
NPI Number
1639538424
Provider Name
Misty Dawn Mora
Credential
CPNP-PC
Provider Entity Type
Individual
Gender
Female
Address
1265 Anthony Dr., Anthony, NM, 79821-4530
Phone Number
575-882-2956
Fax Number
575-882-1863
Provider Enumeration Date
02/22/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20153731 01 PNCB
AP129834 01 TX TEXAS BOARD OF NURSING
CNP-02836 01 NM NEW MEXICO BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
1265 Anthony Dr.
City
State
Zip
88021-4530
Phone Number
575-882-2956
Fax Number
575-882-1863
person
Provider Business Mailing Address Details
Address
1265 Anthony Dr.
City
State
Zip
88021-4530
Phone Number
575-882-2956
Fax Number
575-882-1863
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
AP129834 (Texas)
Definition
Definition to come...
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