Healthcare Provider Details

I. General information

NPI: 1134669260
Provider Name (Legal Business Name): JANET M MORIANGO PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2017
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 THE GRN STE 26976
DOVER DE
19901-3618
US

IV. Provider business mailing address

4 ELKS TRL
NEW CASTLE DE
19720-3855
US

V. Phone/Fax

Practice location:
  • Phone: 302-307-3413
  • Fax: 302-664-8664
Mailing address:
  • Phone: 302-307-3413
  • Fax: 302-664-8664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WN1003X
TaxonomyNutrition Support Registered Nurse
License NumberL10049628
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberL8-0010527
License Number StateDE
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP029203
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: