Provider Demographics
NPI:1992304117
Name:MOREL L'HORSET, AMY MARIE (RD, CDCES)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:MARIE
Last Name:MOREL L'HORSET
Suffix:
Gender:F
Credentials:RD, CDCES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 CHRISTOPHER ST
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-4205
Mailing Address - Country:US
Mailing Address - Phone:631-268-6931
Mailing Address - Fax:
Practice Address - Street 1:191 CHRISTOPHER ST
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-4205
Practice Address - Country:US
Practice Address - Phone:631-268-6931
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-19
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered