Healthcare Provider Details

I. General information

NPI: 1922004290
Provider Name (Legal Business Name): DANIELLE MORGAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

846 STATE ST
NEW HAVEN CT
06511-3924
US

IV. Provider business mailing address

846 STATE ST
NEW HAVEN CT
06511-3924
US

V. Phone/Fax

Practice location:
  • Phone: 203-772-1077
  • Fax: 203-772-1077
Mailing address:
  • Phone: 203-772-1077
  • Fax: 203-772-1077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number002343
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: