Provider Demographics
NPI:1871643577
Name:MORENCY, MARIE CARMEL (NURSE SPECIALIST)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:CARMEL
Last Name:MORENCY
Suffix:
Gender:F
Credentials:NURSE SPECIALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6911 ELLIS CT APT A
Mailing Address - Street 2:
Mailing Address - City:FORT POLK
Mailing Address - State:LA
Mailing Address - Zip Code:71459-3124
Mailing Address - Country:US
Mailing Address - Phone:337-531-0168
Mailing Address - Fax:337-531-3175
Practice Address - Street 1:6911 ELLIS CT APT A
Practice Address - Street 2:
Practice Address - City:FORT POLK
Practice Address - State:LA
Practice Address - Zip Code:71459-3124
Practice Address - Country:US
Practice Address - Phone:337-531-0168
Practice Address - Fax:337-531-3175
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY371114-1163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult