| Doctor Name: | MRS. ANGELA SHRUM MORAN |
| NPI Number: | 1104013804 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | 54618 |
| Business Practice Address: | 480 Central Avenue Naval Health Clinic Hawaii Pearl Harbor, HI - 968604908 |
| Business Phone Number: | 8084711866 |
| Business Fax Number: | |
| Mailing Address: | 6444a Webb Ct, KAILUA |
| State: | HI |
| Postal Code: | 967345311 |
| Phone Number: | 8082241374 |
| Fax Number: | |
| NPI Enumeration Date: | 09/27/2007 |
| NPI Last Update Date: | 09/27/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | 54618 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |