MEDICARE: MORIARTY ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner

General Provider Information

NPI Number	:	1992353080
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORIARTY ASSOCIATES

Provider Business Mailing Address
First Line	:	PO BOX 973
Second Line	:
City	:	WESTMINSTER
State	:	MD
Zip	:	21158-0973
Country	:	US
Telephone Number	:	410-848-5785
Fax Number	:	410-848-5629

Provider Business Practice Location Address
First Line	:	1812 BALTIMORE BLVD STE C
Second Line	:
City	:	WESTMINSTER
State	:	MD
Zip	:	21157-7144
Country	:	US
Telephone Number	:	443-388-2300
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER
Name	:	MAUREEN MORIARTY
Credential	:	CRNP
Telephone Number	:	443-388-2300

Provider Enumeration Date	:	08/31/2019
Last Update Date	:	08/31/2019

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