Healthcare Provider Details

I. General information

NPI: 1659608354
Provider Name (Legal Business Name): MORGAN STEWART CHECK MSN, CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2009
Last Update Date: 08/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 BEVERLY BLVD #1165W
LOS ANGELES CA
90048
US

IV. Provider business mailing address

1040 ELKGROVE AVE #4
VENICE CA
90291-5701
US

V. Phone/Fax

Practice location:
  • Phone: 310-423-3740
  • Fax:
Mailing address:
  • Phone: 610-613-6711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberSP010503
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number23208
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number23208
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number842645
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN581432
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: