Healthcare Provider Details

I. General information

NPI: 1972412625
Provider Name (Legal Business Name): MORGAN CARMEAN REGISTERED NURSING PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15965 LOS GATOS BLVD
LOS GATOS CA
95032-3414
US

IV. Provider business mailing address

15965 LOS GATOS BLVD
LOS GATOS CA
95032-3414
US

V. Phone/Fax

Practice location:
  • Phone: 408-796-7689
  • Fax: 408-444-8845
Mailing address:
  • Phone: 408-796-7689
  • Fax: 408-444-8845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MORGAN ANNE CARMEAN
Title or Position: OWNER
Credential: RN
Phone: 205-937-2883