Susan Moran
Nurse Practitioner, Acute Care in West Milford, NJ. Individual provider (NPI-1).
NPI number1235948209
StatusActive
Last updated in NPPESJan 4, 2025
Details
- NPI
- 1235948209
- Entity type
- Individual (NPI-1)
- Name
- Susan Moran
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 4, 2025
- Certification date
- Jan 4, 2025
- Last updated
- Jan 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 26NJ14878800 | NJ | Yes |
| 363LG0600X | Nurse Practitioner, Gerontology | 26NJ14878800 | NJ |
Practice location
32 Upper High Crest DrWest Milford, NJ 07480-3730
Phone 201-321-5517
Mailing address
32 Upper High Crest DrWest Milford, NJ 07480-3730
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