Individual
ANGELA M MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-2020
(260) 266-2009
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28153210A
IN
363L00000X
Nurse Practitioner
Primary
71010586A
IN
Other
Enumeration date
09/23/2020
Last updated
10/03/2022
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