Doctor Name: | PATRICIA JEAN MORELAND |
NPI Number: | 1073705646 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPNP |
License Number: | 381578 |
Business Practice Address: | 95 Grasslands Road Valhalla, NY - 10595 |
Business Phone Number: | 9144937000 |
Business Fax Number: | |
Mailing Address: | 15 Candlewood Ct, BRIARCLIFF MANOR |
State: | NY |
Postal Code: | 105101300 |
Phone Number: | 9149540408 |
Fax Number: | |
NPI Enumeration Date: | 08/16/2007 |
NPI Last Update Date: | 08/16/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 381578 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |