Tammy Mae Moreno, RRT

Individual provider Active NPI Critical Care Certified Respiratory Therapist · Phoenix, AZ

NPI 1144865262 · NPPES record last updated Nov 12, 2019

Key facts

NPI
1144865262
Entity type
Individual (NPI type 1)
Primary specialty
Critical Care Certified Respiratory Therapist 2278C0205X
License
005140 (AZ)
Practice address
20245 N 32ND Dr Apt 239
Phoenix, AZ 85027-0310
Phone
(623) 693-9613
NPI assigned
Nov 12, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
005140AZMDHand Occupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Certified Respiratory Therapist 2278C0205X 005140 AZ Yes

Addresses

Primary practice location

20245 N 32ND Dr Apt 239
Phoenix, AZ 85027-0310

Mailing address

20245 N 32ND Dr Apt 239
Phoenix, AZ 85027-0310
Phone (623) 693-9613

Electronic endpoints

TypeEndpointUseAffiliation
SOAP URL phoenix

Other providers in Phoenix, AZ

All providers in Phoenix, AZ · Critical Care Certified Respiratory Therapist in Arizona

Sources for this page

Verify at the official NPI Registry.