Provider Demographics
NPI:1821334095
Name:MORO, GIUSEPPE (DC, FNP)
Entity Type:Individual
Prefix:DR
First Name:GIUSEPPE
Middle Name:
Last Name:MORO
Suffix:
Gender:M
Credentials:DC, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3860 W LAKE MEAD BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-5203
Mailing Address - Country:US
Mailing Address - Phone:702-577-1910
Mailing Address - Fax:702-546-7571
Practice Address - Street 1:3860 W LAKE MEAD BLVD STE 100
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-5203
Practice Address - Country:US
Practice Address - Phone:702-577-1910
Practice Address - Fax:702-546-7571
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-17
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV821808163WG0000X, 363LF0000X
CA31503111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No111N00000XChiropractic ProvidersChiropractor