SHANA MORENO

LAFAYETTE, IN
NPI1659982270
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71010338A)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: IN  28200016A)
Enumeration Date2020-08-17
Last Update Date2023-08-02
Business Address
SHANA MORENO NP
3900 ST FRANCIS WAY STE 200
LAFAYETTE, IN 47905-4940
Phone number: 765-775-2800
Mailing Address
SHANA MORENO NP
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800