Moreno, Paula Renee
Moreno, Paula Renee is an individual health care provider with primary practice located at 1550 S Pioneer Way Ste 100 , Moses Lake WA 98837. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Moreno, Paula Renee can be contacted via phone (509) 793-9790.Contact Information
Primary practice address
1550 S Pioneer Way Ste 100
Moses Lake WA 98837
Phone: (509) 793-9790
Fax: (509) 764-3255
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2019015462 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10130700-1206 | Utah |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5886 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA60342285 | Washington |
Profile Details
| NPI number | 1881642197 |
|---|---|
| LBN Legal business name | Moreno, Paula Renee |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Jul 8th, 2022 - about 2 years 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 | 1881642197 | NPPES |
| Washington | MEDICAID | 2130702 |
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