Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mia Moran

Individual provider General Practice Registered Nurse · NPI 1619735131

Mia Moran is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2024, 2 years ago. Practices with Pacific West Urology LLC a Professional Medical Company, a 4-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
2
Licensed in
NV
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

4425 S Pecos Rd Ste 3
Las Vegas, NV 89121-5039
Phone: (725) 225-5575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 876691 (NV)
General Practice Registered Nurse Taxonomy 163WG0000X · Licence RN97732 (NV)

Record details

NPI number1619735131
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 11, 2024
Last updated in NPPESAugust 11, 2024
Certification dateAugust 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Pacific West Urology Llc A Professional Medical Company — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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