Provider Demographics
NPI:1629386347
Name:MORALES, BILLY FRANKLIN
Entity Type:Individual
Prefix:MR
First Name:BILLY
Middle Name:FRANKLIN
Last Name:MORALES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 E 15TH AVE
Mailing Address - Street 2:
Mailing Address - City:GULF SHORES
Mailing Address - State:AL
Mailing Address - Zip Code:36542-3501
Mailing Address - Country:US
Mailing Address - Phone:251-962-1250
Mailing Address - Fax:251-967-7832
Practice Address - Street 1:101 E 15TH AVE
Practice Address - Street 2:
Practice Address - City:GULF SHORES
Practice Address - State:AL
Practice Address - Zip Code:36542-3501
Practice Address - Country:US
Practice Address - Phone:251-962-1250
Practice Address - Fax:251-967-7832
Is Sole Proprietor?:No
Enumeration Date:2010-09-15
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAF0710432363L00000X
LARN113393-APO6243363L00000X
AL1-169017363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner