| Doctor Name: | ELLEN MORAN |
| NPI Number: | 1417076175 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN BC |
| License Number: | 26NR10031100 |
| Business Practice Address: | 328 Centaurian Dr West Berlin, NJ - 080913800 |
| Business Phone Number: | 8569127239 |
| Business Fax Number: | 8569127239 |
| Mailing Address: | 328 Centaurian Dr, WEST BERLIN |
| State: | NJ |
| Postal Code: | 080913800 |
| Phone Number: | 8569127239 |
| Fax Number: | 8569127239 |
| NPI Enumeration Date: | 03/27/2007 |
| NPI Last Update Date: | 07/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 26NR10031100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |