Larry Anthony Morales, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

247394 Issued in AZ

Practice address

1233 N Main St Ste 1a
San Luis, AZ 85336-0663

Phone

(928) 550-5514

Fax

(928) 550-5160

NPI assigned

Sep 16, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1093321085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 617",
            "city": "SOMERTON",
            "state": "AZ",
            "postal_code": "853500617",
            "telephone_number": "928-315-7910",
            "fax_number": "928-722-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 N MAIN ST STE 1A",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "853360663",
            "telephone_number": "928-550-5514",
            "fax_number": "928-550-5160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 S Oak Ave Ste 7",
            "address_purpose": "LOCATION",
            "city": "San Luis",
            "state": "AZ",
            "postal_code": "853360756",
            "country_code": "US",
            "telephone_number": "928-366-5166",
            "fax_number": "928-366-5165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORALES",
        "first_name": "LARRY",
        "middle_name": "ANTHONY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-16",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "247394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083663",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manuel Arturo Molina
• Diana Lorena Monroy, FNP-C
• Monica Montufar, CNM
• Rosario Alejandra Morales Villegas, SLPA
• Agustin Morales, M.D.
• Siyanda Obed Mquqwana, OT
• Clarisse Vanessa Ngueha-Nana
• Armik Ohanesyan Salmas
• Alejandro Olea
• Maricela Sevilla Olea, FNP-C

• All providers in San Luis, AZ
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.