Provider Demographics
NPI:1780790915
Name:MORALES MUYUELA, ERMA (APN)
Entity type:Individual
Prefix:MRS
First Name:ERMA
Middle Name:
Last Name:MORALES MUYUELA
Suffix:
Gender:F
Credentials:APN
Other - Prefix:MRS
Other - First Name:ERMA
Other - Middle Name:M
Other - Last Name:MORALES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN APN-C
Mailing Address - Street 1:89 SPARTA AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871-1791
Mailing Address - Country:US
Mailing Address - Phone:973-940-8780
Mailing Address - Fax:973-726-3568
Practice Address - Street 1:89 SPARTA AVE STE 207
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-1791
Practice Address - Country:US
Practice Address - Phone:973-940-8780
Practice Address - Fax:973-726-3568
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN05257600363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health