Morales, Larry Anthony

Morales, Larry Anthony is an sole proprietor health care provider with primary practice located at 1233 N Main St Ste 1A , San Luis AZ 85336-0663. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Morales, Larry Anthony can be contacted via phone (928) 550-5514.

Contact Information

Primary practice address
1233 N Main St Ste 1A San Luis AZ 85336-0663
Phone: (928) 550-5514
Fax: (928) 550-5160
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 247394 Arizona

Profile Details

NPI number 1093321085
LBN Legal business name Morales, Larry Anthony
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2020
Last updated Aug 24th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093321085 NPPES
Arizona MEDICAID 083663

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