Provider Demographics
NPI:1083889125
Name:MORALES, NITZA I (APN,C)
Entity Type:Individual
Prefix:
First Name:NITZA
Middle Name:I
Last Name:MORALES
Suffix:
Gender:F
Credentials:APN,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 GRAND ST
Mailing Address - Street 2:HOBOKEN FAMILY PLANNING INC
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-2510
Mailing Address - Country:US
Mailing Address - Phone:201-963-0300
Mailing Address - Fax:201-963-0303
Practice Address - Street 1:124 GRAND ST
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-2510
Practice Address - Country:US
Practice Address - Phone:201-963-0300
Practice Address - Fax:201-963-0303
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN09804300364SW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SW0102XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistWomen's Health