Provider Demographics
NPI:1174030316
Name:MORALES, ANA J (ARNP)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:J
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 1:7141 SW 158TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-3461
Mailing Address - Country:US
Mailing Address - Phone:786-302-0698
Mailing Address - Fax:
Practice Address - Street 1:7141 SW 158TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-3461
Practice Address - Country:US
Practice Address - Phone:786-302-0698
Practice Address - Fax:786-302-0698
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-09
Last Update Date:2018-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9296113363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily