Healthcare Provider Details

I. General information

NPI: 1952133480
Provider Name (Legal Business Name): MORGAN E QUILLIN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2024
Last Update Date: 08/14/2024
Certification Date: 08/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4040 MEMORIAL PKWY SW
HUNTSVILLE AL
35802-4364
US

IV. Provider business mailing address

1131 EAGLETREE LN SW
HUNTSVILLE AL
35801-6491
US

V. Phone/Fax

Practice location:
  • Phone: 256-715-6177
  • Fax: 256-705-6477
Mailing address:
  • Phone: 256-533-1970
  • Fax: 256-532-4112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1-200676
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: