Moreno, Ikaika K

Moreno, Ikaika K is an sole proprietor health care provider with primary practice located at 7220 S Cimarron Rd Ste 155 , Las Vegas NV 89113-2170. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Moreno, Ikaika K can be contacted via phone (725) 252-8089.

Contact Information

Primary practice address
7220 S Cimarron Rd Ste 155 Las Vegas NV 89113-2170
Phone: (725) 252-8089
Fax: (800) 532-0674
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X RN80851 Hawaii
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN-2456 Hawaii
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 812685 Nevada

Profile Details

NPI number 1407349715
LBN Legal business name Moreno, Ikaika K
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2018
Last updated Mar 19th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407349715 NPPES
Nevada Other 812685 STATE LICENSE
Nevada MEDICAID 1407349715 STATE LICENSE

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