Provider Demographics
NPI:1477378883
Name:MORAZAN, JOSHUA (RN)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:MORAZAN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1168 SW HUTCHINS ST
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34983-2534
Mailing Address - Country:US
Mailing Address - Phone:772-985-2937
Mailing Address - Fax:855-606-5400
Practice Address - Street 1:1168 SW HUTCHINS ST
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34983-2534
Practice Address - Country:US
Practice Address - Phone:772-985-2937
Practice Address - Fax:855-606-5400
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-20
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9536502163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse