Provider Demographics
NPI:1437404928
Name:MORLEY, ANGELA M (RN, BSN,CHN)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:M
Last Name:MORLEY
Suffix:
Gender:F
Credentials:RN, BSN,CHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:918 NEW YORK AVE
Mailing Address - Street 2:
Mailing Address - City:OGDENSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:13669-3133
Mailing Address - Country:US
Mailing Address - Phone:315-393-0776
Mailing Address - Fax:
Practice Address - Street 1:80 STATE HIGHWAY 310
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:NY
Practice Address - Zip Code:13617-1476
Practice Address - Country:US
Practice Address - Phone:315-386-2325
Practice Address - Fax:315-393-9177
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-20
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY34092-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse