Stephanie Makumi Moreno, AGNP-C
NPI #1871299263 in Georgetown, Texas
Provider Information
- NPI Number
- 1871299263
- Entity Type
- Individual
- Name
- Stephanie Makumi Moreno, AGNP-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Gerontology
- Credential
- AGNP-C
- Enumeration Date
- Feb 6, 2023
- Last Updated
- Aug 16, 2023
Practice Location
- Address
- 1900 SCENIC DR STE 1114
- City
- Georgetown
- State
- Texas
- ZIP Code
- 78626-7724
- Phone
- (512) 248-2200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Gerontology — Gerontology |
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