Healthcare Provider Details

I. General information

NPI: 1689181901
Provider Name (Legal Business Name): KRISTIN MARIE MORALE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2018
Last Update Date: 01/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8900 N KENDALL DR
MIAMI FL
33176-2118
US

IV. Provider business mailing address

3255 NE 184TH ST APT 12215
AVENTURA FL
33160-4991
US

V. Phone/Fax

Practice location:
  • Phone: 786-596-1960
  • Fax:
Mailing address:
  • Phone: 786-512-4925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number9325332
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: