Provider Demographics
NPI:1417931668
Name:MORALES, ANNE HILLE (NP)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:HILLE
Last Name:MORALES
Suffix:
Gender:F
Credentials:NP
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Other - First Name:
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Mailing Address - Street 1:4305 UNIVERSITY AVE
Mailing Address - Street 2:STE 150
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92105-1645
Mailing Address - Country:US
Mailing Address - Phone:619-563-0507
Mailing Address - Fax:619-563-0015
Practice Address - Street 1:4305 UNIVERSITY AVE
Practice Address - Street 2:STE 150
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92105-1645
Practice Address - Country:US
Practice Address - Phone:619-563-0507
Practice Address - Fax:619-563-0015
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-01
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CANP4000363L00000X
CARN231823363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
S50445Medicare UPIN