MEDICARE: REBECCA LYNN MORGAN RD, LN

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
1	133VN1501X	Sports Dietetics Nutrition Registered Dietitian	86418778	AZ

General Provider Information

NPI Number	:	1578427621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA LYNN MORGAN RD, LN

Provider Business Mailing Address
First Line	:	1301 N SCOTTSDALE RD APT 4056
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85257-3486
Country	:	US
Telephone Number	:	605-939-4142
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 N SCOTTSDALE RD APT 4056
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85257-3486
Country	:	US
Telephone Number	:	605-939-4142
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2025
Last Update Date	:	12/12/2025

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