MEDICARE: LUCIA MORENO APRN-C

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	363LF0000X	Family Nurse Practitioner	53-77141-071	KS

General Provider Information

NPI Number	:	1720435878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUCIA MORENO APRN-C

Provider Business Mailing Address
First Line	:	1420 S 42ND ST
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66106-1952
Country	:	US
Telephone Number	:	913-831-1100
Fax Number	:	913-831-0827

Provider Business Practice Location Address
First Line	:	1420 S 42ND ST
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66106-1952
Country	:	US
Telephone Number	:	913-831-1100
Fax Number	:	913-831-0827

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

Provider Enumeration Date	:	05/18/2016
Last Update Date	:	10/02/2025

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Directions to “ LUCIA MORENO APRN-C” Practice Location

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