Healthcare Provider Details

I. General information

NPI: 1962539981
Provider Name (Legal Business Name): MICHELLE G MORGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 S HAVANA ST
AURORA CO
80014-1618
US

IV. Provider business mailing address

3733 W 97TH AVE
WESTMINSTER CO
80031-2628
US

V. Phone/Fax

Practice location:
  • Phone: 303-338-3333
  • Fax:
Mailing address:
  • Phone: 303-469-2266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: