IndividualActive
Misty Mora, CPNP-PC
NPI 1639538424 · Pediatric Nurse Practitioner · Anthony, NM
Provider details
- NPI number
- 1639538424
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP-PC
- Sex
- Female
- Sole proprietor
- Yes
- License
- AP129834 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1265 Anthony Dr.
Anthony, NM 88021-4530
Phone: (575) 882-2956
Fax: (575) 882-1863
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 4530
Anthony, TX 79821-4530
Registry dates
- Enumerated
- 2016-02-22
- Last updated
- 2018-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.