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:
Health care specialties
Specialty | Code | License # | 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 6 months ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407349715 | NPPES |
Nevada | Other | 812685 | STATE LICENSE |
Nevada | MEDICAID | 1407349715 | STATE LICENSE |
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