Provider Demographics
NPI:1740005701
Name:MORALES, AMY ELIEN I
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:ELIEN
Last Name:MORALES
Suffix:I
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 1:101 SANTA FE TRL
Mailing Address - Street 2:
Mailing Address - City:HOPATCONG
Mailing Address - State:NJ
Mailing Address - Zip Code:07843-1247
Mailing Address - Country:US
Mailing Address - Phone:973-932-7929
Mailing Address - Fax:
Practice Address - Street 1:101 SANTA FE TRL
Practice Address - Street 2:
Practice Address - City:HOPATCONG
Practice Address - State:NJ
Practice Address - Zip Code:07843-1247
Practice Address - Country:US
Practice Address - Phone:973-932-7929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide