Healthcare Provider Details

I. General information

NPI: 1639490998
Provider Name (Legal Business Name): NICOLE ARLENE MORGAN A.R.N.P
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NICOLE ARLENE OLDHAM

II. Dates (important events)

Enumeration Date: 06/21/2010
Last Update Date: 10/01/2022
Certification Date: 10/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 PLEASANT ST STE 400
DES MOINES IA
50309-1423
US

IV. Provider business mailing address

1221 PLEASANT ST STE 100
DES MOINES IA
50309-1424
US

V. Phone/Fax

Practice location:
  • Phone: 515-241-4161
  • Fax: 515-241-4162
Mailing address:
  • Phone: 515-282-2921
  • Fax: 515-282-1035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberH107178
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberH107178
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: