NPI 1043022338 · live from the CMS NPI Registry
Alicia Kamile Gentry-Moon, RN
Registered Nurse, General Practice in Sells, AZ. National Provider Identifier 1043022338, active.
NPI record
| NPI | 1043022338 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | Po 548 Highway 86 Topawa Road, Sells, AZ 85634 |
| Practice phone | 520-383-7200 |
| Mailing address | Po Box 98, Sells, AZ 85634 |
| Enumerated | January 23, 2025 |
| Last updated | January 23, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice primary | 163WG0000X | 28187726A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.