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NPI Code Detail

MEDICARE: MS. STEPHANIE L MORGAN BSN, RN, IBCLC

MEDICARE:  MS. STEPHANIE L MORGAN  BSN, RN, IBCLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WL0100XLactation Consultant (Registered Nurse)33690ID

General Provider Information

NPI Number : 1477237428
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. STEPHANIE L MORGAN BSN, RN, IBCLC
Provider Business Mailing Address
First Line : 1429 SUNRISE MANOR WAY
Second Line :
City : BOISE
State : ID
Zip : 83713-7956
Country : US
Telephone Number : 208-891-2625
Fax Number :
Provider Business Practice Location Address
First Line : 1429 SUNRISE MANOR WAY
Second Line :
City : BOISE
State : ID
Zip : 83713-7956
Country : US
Telephone Number : 208-891-2625
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2023
Last Update Date : 02/23/2026

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Directions to “ MS. STEPHANIE L MORGAN BSN, RN, IBCLC” Practice Location

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