Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 16802 | CA |
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 16802 | CA |
NPI | 1033380761 |
---|---|
Provider Name | Miss Shenyell Arlu Morales |
First Address | Los Angeles, CA 90011-3629 |
Second Address | Los Angeles, CA 90011-3629 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2008 |
Last Update Date | 20/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2011013408 | AMERICAN NURSES CREDENTIALING CENTER (01) | CA |
F0208258 | AANP CERTIFICATION (01) | CA |