Provider Demographics
NPI:1184326944
Name:MORANTE PSYCHIATRIC NURSING PC
Entity type:Organization
Organization Name:MORANTE PSYCHIATRIC NURSING PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:ESTRADA
Authorized Official - Last Name:MORANTE
Authorized Official - Suffix:
Authorized Official - Credentials:NP, PMHNP-BC, FNP-BC
Authorized Official - Phone:661-888-0195
Mailing Address - Street 1:28802 GARNET CANYON DR
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91390-5263
Mailing Address - Country:US
Mailing Address - Phone:661-888-0195
Mailing Address - Fax:
Practice Address - Street 1:11900 AVALON BLVD STE B
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90061-2866
Practice Address - Country:US
Practice Address - Phone:888-783-1883
Practice Address - Fax:888-653-3144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-17
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Single Specialty