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
Mailing address4425 S Pecos Rd Ste 3, Las Vegas, NV 89121-5039

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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