Healthcare Provider Details

I. General information

NPI: 1174521884
Provider Name (Legal Business Name): ANN C MORALES NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 02/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8030 IRVING ST. KIDS FIRST HEALTH CARE
WESTMINSTER CO
80031
US

IV. Provider business mailing address

1316 DOGWOOD LN
LONGMONT CO
80501-3312
US

V. Phone/Fax

Practice location:
  • Phone: 303-428-4384
  • Fax: 720-542-4027
Mailing address:
  • Phone: 720-297-0834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number49362
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: