Healthcare Provider Details

I. General information

NPI: 1922593151
Provider Name (Legal Business Name): MORGAN LEIGH VRABLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2018
Last Update Date: 06/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 SAINT ANDREWS RD
SAGINAW MI
48638-5977
US

IV. Provider business mailing address

PO BOX 663
LAKELAND MI
48143-0663
US

V. Phone/Fax

Practice location:
  • Phone: 989-401-9020
  • Fax:
Mailing address:
  • Phone: 810-559-2129
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: