Provider Demographics
NPI:1922870641
Name:MORALES FLORES, NADYN
Entity Type:Individual
Prefix:
First Name:NADYN
Middle Name:
Last Name:MORALES FLORES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1934 SUNNY COURT
Mailing Address - Street 2:B
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229
Mailing Address - Country:US
Mailing Address - Phone:347-357-2836
Mailing Address - Fax:
Practice Address - Street 1:937 JEFFERSON CHASE WAY
Practice Address - Street 2:
Practice Address - City:BLACKLICK
Practice Address - State:OH
Practice Address - Zip Code:43004-9153
Practice Address - Country:US
Practice Address - Phone:646-851-6789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-25
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHVR659134OtherSTATE ID