Healthcare Provider Details

I. General information

NPI: 1205377231
Provider Name (Legal Business Name): MORGAN CLOTHILDE MORGANTE RN, AGACNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MORGAN CLOTHILDE JOHNSON

II. Dates (important events)

Enumeration Date: 03/09/2017
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 PROSPECT ST
MILFORD MA
01757-3003
US

IV. Provider business mailing address

9 INDUSTRIAL RD STE 5
MILFORD MA
01757-3736
US

V. Phone/Fax

Practice location:
  • Phone: 508-473-1190
  • Fax: 508-482-5416
Mailing address:
  • Phone: 508-473-1480
  • Fax: 508-473-1210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberRN2292907
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN2292907
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: