Provider Demographics
NPI:1669788451
Name:MORALES, ELLEN MAUREEN (RN, BSN, MSN, CCNS)
Entity type:Individual
Prefix:
First Name:ELLEN
Middle Name:MAUREEN
Last Name:MORALES
Suffix:
Gender:F
Credentials:RN, BSN, MSN, CCNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2237 US HIGHWAY 27 S
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-4936
Mailing Address - Country:US
Mailing Address - Phone:863-385-4300
Mailing Address - Fax:863-385-0383
Practice Address - Street 1:2237 US HIGHWAY 27 S
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-4936
Practice Address - Country:US
Practice Address - Phone:863-385-4300
Practice Address - Fax:863-385-0383
Is Sole Proprietor?:No
Enumeration Date:2010-08-31
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCNS9275371163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse