Healthcare Provider Details

I. General information

NPI: 1750820676
Provider Name (Legal Business Name): MORGAN RUTLEDGE MSN, APRN, AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2017
Last Update Date: 02/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3719 DAUPHIN ST
MOBILE AL
36608-1753
US

IV. Provider business mailing address

PO BOX 81719
MOBILE AL
36689-1719
US

V. Phone/Fax

Practice location:
  • Phone: 251-344-9630
  • Fax:
Mailing address:
  • Phone: 251-344-9630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number1-126544
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: