Mirela Liana Moga, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP8459 Issued in AZ

Practice address

1800 E Van Buren St
Phoenix, AZ 85006-3742

Phone

(602) 251-8624

NPI assigned

Mar 1, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mirela Liana Platona Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1124488309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16859 W TONBRIDGE ST",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853740832",
            "telephone_number": "623-544-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E VAN BUREN ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850063742",
            "telephone_number": "602-251-8624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGA",
        "first_name": "MIRELA",
        "middle_name": "LIANA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP8459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRELA",
            "last_name": "PLATONA",
            "middle_name": "LIANA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Drew V Moffitt, MD
• Maricela P Moffitt, MD
• Robert Moffitt, M.D.
• Susan Marie Moffitt, LPC
• Thomas Moffo, M.D.
• Veronica Mogaka
• Moge Transportation LLC
• Jeffrey E Moghina, PHARM.D., BCPS
• Mogollon Behavioral Health Inc.
• Mogollon Treatment Center

• Psychiatric/Mental Health Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.