Individual provider · NPI-1

Moriah Psalm Barboza, N.P.

Nurse Practitioner · Palm Desert, CA

NPI number1417110347
StatusActive
Last updated in NPPESFeb 15, 2022

Details

NPI
1417110347
Entity type
Individual (NPI-1)
Name
Moriah Psalm Barboza
Credential
N.P.
Sex
Female
Sole proprietor
No
Enumeration date
Jul 10, 2008
Certification date
Feb 15, 2022
Last updated
Feb 15, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner18237CAYes

Practice location

36867 Cook St Ste 101
Palm Desert, CA 92211-6064

Phone 760-341-1999 · Fax 760-341-1997

Mailing address

1275 E Latham Ave Ste A
Hemet, CA 92543-4424

Phone 951-652-5555 · Fax 951-766-5056

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