Provider Demographics
NPI:1093092579
Name:MORALES, MONICA (ARNP)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:MORALES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 W 29TH ST N STE 102
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67204-4809
Mailing Address - Country:US
Mailing Address - Phone:316-777-6655
Mailing Address - Fax:888-975-7964
Practice Address - Street 1:902 W 29TH ST N STE 102
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67204-4809
Practice Address - Country:US
Practice Address - Phone:316-777-6655
Practice Address - Fax:888-975-7964
Is Sole Proprietor?:No
Enumeration Date:2011-11-10
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS143424363LP0808X
KS80145163WG0000X
KS75588363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice