Provider Demographics
NPI:1902639636
Name:MORENO-ROJAS, GABRIELA (FNP-BC)
Entity type:Individual
Prefix:MISS
First Name:GABRIELA
Middle Name:
Last Name:MORENO-ROJAS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2477 BURTIN DR
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-5003
Mailing Address - Country:US
Mailing Address - Phone:775-303-3893
Mailing Address - Fax:
Practice Address - Street 1:2477 BURTIN DR
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89436-5003
Practice Address - Country:US
Practice Address - Phone:775-303-3893
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-20
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV876588363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily