Healthcare Provider Details

I. General information

NPI: 1386948206
Provider Name (Legal Business Name): MARIANNE DENISE MORALES ACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2011
Last Update Date: 06/14/2024
Certification Date: 06/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7100 E BELLEVIEW AVE STE G10
GREENWOOD VILLAGE CO
80111-1634
US

IV. Provider business mailing address

9049 SANDERLING WAY
LITTLETON CO
80126-5295
US

V. Phone/Fax

Practice location:
  • Phone: 303-745-0000
  • Fax: 303-773-3675
Mailing address:
  • Phone: 505-363-4587
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberCNP-01723
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberCAPN0000276C-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: