MEDICARE: LAURIE MORGAN

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	163W00000X	Registered Nurse	RN33083	RI

General Provider Information

NPI Number	:	1902492390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURIE MORGAN

Provider Business Mailing Address
First Line	:	6 BERRY DR
Second Line	:
City	:	WESTERLY
State	:	RI
Zip	:	02891-1143
Country	:	US
Telephone Number	:	401-348-9497
Fax Number	:

Provider Business Practice Location Address
First Line	:	1130 TEN ROD RD STE B101
Second Line	:
City	:	NORTH KINGSTOWN
State	:	RI
Zip	:	02852-4165
Country	:	US
Telephone Number	:	401-294-9879
Fax Number	:

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

Provider Enumeration Date	:	12/19/2020
Last Update Date	:	12/19/2020

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