| Doctor Name: | KATIUSKA MORENO |
| NPI Number: | 1073983987 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP 9292589 |
| Business Practice Address: | 1454 Madison Ave W Immokalee, FL - 341422200 |
| Business Phone Number: | 2396583064 |
| Business Fax Number: | |
| Mailing Address: | 2341 55th Ter Sw Apt B, NAPLES |
| State: | FL |
| Postal Code: | 341165620 |
| Phone Number: | 2396824874 |
| Fax Number: | |
| NPI Enumeration Date: | 10/05/2015 |
| NPI Last Update Date: | 12/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP 9292589 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |