Healthcare Provider Details

I. General information

NPI: 1801310404
Provider Name (Legal Business Name): LAUREN MICHELE MORSE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2017
Last Update Date: 05/14/2024
Certification Date: 05/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19500 HOMESTEAD RD
CUPERTINO CA
95014-0600
US

IV. Provider business mailing address

19500 HOMESTEAD RD
CUPERTINO CA
95014-0600
US

V. Phone/Fax

Practice location:
  • Phone: 408-783-4000
  • Fax:
Mailing address:
  • Phone: 408-783-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2310400
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95013900
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: