Angela Shrum Moran, R.N.

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

54618 Issued in HI

Practice address

480 Central Avenue
Naval Health Clinic Hawaii
Pearl Harbor, HI 96860-4908

Phone

(808) 471-1866

NPI assigned

Sep 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1104013804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6444A WEBB CT",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967345311",
            "telephone_number": "808-224-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 CENTRAL AVENUE",
            "address_2": "NAVAL HEALTH CLINIC HAWAII",
            "city": "PEARL HARBOR",
            "state": "HI",
            "postal_code": "968604908",
            "telephone_number": "808-471-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "ANGELA",
        "middle_name": "SHRUM",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "HI",
            "license": "54618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolle Marie Miller, D.D.S.
• Michelle Renee Mize, LPN
• Marc A Molenat, DO
• Benita Lynn Gofigan Mollenhauer, L.V.N
• Tara Moore
• Kelli Marie Morrissey, DMD
• Alex Todd Mueller, DMD
• Janet Patricia Murphy, RN
• Brian Peter Nadeau, DMD
• Civyl Nakho, RN

• Case Management Registered Nurse in Pearl Harbor, HI
• Providers in Pearl Harbor, HI by specialty
• Case Management Registered Nurse in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.