Provider Demographics
NPI:1558604397
Name:MORANT, HYACINTH AGATHA (RN)
Entity Type:Individual
Prefix:
First Name:HYACINTH
Middle Name:AGATHA
Last Name:MORANT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12222 192ND ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11413-1059
Mailing Address - Country:US
Mailing Address - Phone:718-723-3301
Mailing Address - Fax:
Practice Address - Street 1:12222 192ND ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11413-1059
Practice Address - Country:US
Practice Address - Phone:718-723-3301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-29
Last Update Date:2013-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY667246-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse