MEDICARE: SERABINA MORERI AGPCNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LG0600X	Gerontology Nurse Practitioner	0024194379	VA
2	363LG0600X	Gerontology Nurse Practitioner	1218068	TX
3	163W00000X	Registered Nurse	803514	TX

General Provider Information

NPI Number	:	1467233551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SERABINA MORERI AGPCNP-BC

Provider Business Mailing Address
First Line	:	517 LAURELWOOD RD
Second Line	:
City	:	BURLESON
State	:	TX
Zip	:	76028-6399
Country	:	US
Telephone Number	:	682-557-9771
Fax Number	:

Provider Business Practice Location Address
First Line	:	1420 N COOPER ST STE 110
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76011-8530
Country	:	US
Telephone Number	:	972-204-5805
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2023
Last Update Date	:	04/11/2026

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