Healthcare Provider Details

I. General information

NPI: 1093443616
Provider Name (Legal Business Name): MORGAN HEPPLER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2022
Last Update Date: 08/11/2022
Certification Date: 07/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10240 PARK MEADOWS DR
LONE TREE CO
80124-5425
US

IV. Provider business mailing address

3147 S PENNSYLVANIA ST
ENGLEWOOD CO
80113-2715
US

V. Phone/Fax

Practice location:
  • Phone: 303-649-5460
  • Fax:
Mailing address:
  • Phone: 602-403-1770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1663829
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: