Provider Demographics
NPI:1821334095
Name:MORO, GIUSEPPE (DC, FNP, PMHNP)
Entity type:Individual
Prefix:DR
First Name:GIUSEPPE
Middle Name:
Last Name:MORO
Suffix:
Gender:M
Credentials:DC, FNP, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9929 KALAHARI CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-3737
Mailing Address - Country:US
Mailing Address - Phone:213-590-3459
Mailing Address - Fax:
Practice Address - Street 1:9929 KALAHARI CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-3737
Practice Address - Country:US
Practice Address - Phone:213-590-3459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-17
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01934111N00000X
NV821808163WG0000X, 163WH0200X, 363LF0000X, 363LP0808X
AZ239343363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No111N00000XChiropractic ProvidersChiropractor
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily