Healthcare Provider Details

I. General information

NPI: 1548195761
Provider Name (Legal Business Name): MORGAN MITCHELL APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 S POWER RD STE 106
MESA AZ
85206-5236
US

IV. Provider business mailing address

215 S POWER RD STE 106
MESA AZ
85206-5236
US

V. Phone/Fax

Practice location:
  • Phone: 480-214-0051
  • Fax: 480-214-0055
Mailing address:
  • Phone: 480-214-0051
  • Fax: 480-214-0055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number341127
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: