Provider Demographics
NPI:1295925527
Name:MORAIS, PHOEBE ELIZABETH (RN, MSN, ANP-BC)
Entity type:Individual
Prefix:MRS
First Name:PHOEBE
Middle Name:ELIZABETH
Last Name:MORAIS
Suffix:
Gender:F
Credentials:RN, MSN, ANP-BC
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:P
Other - Last Name:MURRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, MSN, ANP-BC
Mailing Address - Street 1:874 PURCHASE ST
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-6232
Mailing Address - Country:US
Mailing Address - Phone:508-992-6553
Mailing Address - Fax:508-984-8420
Practice Address - Street 1:874 PURCHASE ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-6232
Practice Address - Country:US
Practice Address - Phone:508-992-6553
Practice Address - Fax:508-984-8420
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2014-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA268114363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA177164OtherCMSP/HS
MAN/AOtherNEIGHBORHOOD HEALTH PLAN
MA007627OtherSENIOR WHOLE HEALTH
MA177164OtherCMSP/HS