Provider Demographics
NPI:1609539600
Name:JARIAN MORALES, NATALIE ANGELE (MS, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:ANGELE
Last Name:JARIAN MORALES
Suffix:
Gender:F
Credentials:MS, FNP-C
Other - Prefix:MISS
Other - First Name:NATALIE
Other - Middle Name:ANGELE
Other - Last Name:JARIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, FNP-C
Mailing Address - Street 1:15646 OLD COLUMBIA PIKE
Mailing Address - Street 2:
Mailing Address - City:BURTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20866-1630
Mailing Address - Country:US
Mailing Address - Phone:301-421-1214
Mailing Address - Fax:301-421-4054
Practice Address - Street 1:15646 OLD COLUMBIA PIKE
Practice Address - Street 2:
Practice Address - City:BURTONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20866-1630
Practice Address - Country:US
Practice Address - Phone:301-421-1214
Practice Address - Fax:301-421-4054
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-16
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR233210363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily