Healthcare Provider Details

I. General information

NPI: 1588520209
Provider Name (Legal Business Name): RAYLIN MOYA CNA
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/26/2025
Last Update Date: 12/26/2025
Certification Date: 12/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 S NEEDLES HWY STE 500
LAUGHLIN NV
89029-0815
US

IV. Provider business mailing address

746 E WINCHESTER ST STE 200
MURRAY UT
84107-8513
US

V. Phone/Fax

Practice location:
  • Phone: 702-868-1400
  • Fax:
Mailing address:
  • Phone: 801-485-6166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License NumberCNA1000054812
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: