Healthcare Provider Details

I. General information

NPI: 1568645380
Provider Name (Legal Business Name): ANA LILIA MORADO FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2007
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 RED SUN DR STE 1E
CHAPARRAL NM
88081-8183
US

IV. Provider business mailing address

9564 VERBENA DR
EL PASO TX
79924-6226
US

V. Phone/Fax

Practice location:
  • Phone: 915-335-1983
  • Fax:
Mailing address:
  • Phone: 915-329-1303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberCNP01431
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number656336
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: