Rosie Jari Moreno
Individual provider Active NPI Nurse Practitioner · Phoenix, AZ
NPI 1992587877 · NPPES record last updated Jan 17, 2025
Key facts
- NPI
- 1992587877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 312190 (AZ)
- Practice address
- 1929 W Fillmore St BLDG C
Phoenix, AZ 85009-3812 - Phone
- (602) 258-6008
- Fax
- (602) 258-8388
- NPI assigned
- Oct 16, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 312190 | AZ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Neighborhood Christian Clinic, Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 312190 | AZ | Yes |
Addresses
Primary practice location
1929 W Fillmore St BLDG C
Phoenix, AZ 85009-3812
Mailing address
1929 W Fillmore St BLDG C
Phoenix, AZ 85009-3812
Phone (602) 258-6008
Other providers in Phoenix, AZ
- Maribel Moreno
- Michele Lee Moreno
- Nancine Moreno
- Olivia Moreno
- Pamela Moreno
- Tammy Mae Moreno
- Vannia Moreno
- Kara-Lynn Morgado
- Peggy Jean Morgan-Griffin
- A. Michele Morgan
All providers in Phoenix, AZ · Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.