Healthcare Provider Details

I. General information

NPI: 1407764988
Provider Name (Legal Business Name): ADILAH FARIDAH MORALES BS, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8805 W VAN BUREN ST UNIT 216
TOLLESON AZ
85353-5109
US

IV. Provider business mailing address

1901 W MADISON ST APT 1217
PHOENIX AZ
85009-1642
US

V. Phone/Fax

Practice location:
  • Phone: 602-531-1240
  • Fax: 602-580-0607
Mailing address:
  • Phone: 602-531-1240
  • Fax: 602-580-0607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number201810910RN
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number201810910RN
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: