Provider Demographics
NPI:1659171320
Name:MORALES, JUANITA MARIE (LPN)
Entity type:Individual
Prefix:
First Name:JUANITA
Middle Name:MARIE
Last Name:MORALES
Suffix:
Gender:
Credentials:LPN
Other - Prefix:
Other - First Name:JUANITA
Other - Middle Name:MARIE
Other - Last Name:GEIER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:624 SUNBERRY ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15904-1430
Mailing Address - Country:US
Mailing Address - Phone:814-341-1974
Mailing Address - Fax:
Practice Address - Street 1:401 BROAD ST
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15906-2745
Practice Address - Country:US
Practice Address - Phone:814-535-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN286910164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse