Healthcare Provider Details

I. General information

NPI: 1114843265
Provider Name (Legal Business Name): MORGAN HOLLIS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1333 SUMMERDALE RD
CORVALLIS MT
59828-9631
US

IV. Provider business mailing address

1333 SUMMERDALE RD
CORVALLIS MT
59828-9631
US

V. Phone/Fax

Practice location:
  • Phone: 406-239-4272
  • Fax:
Mailing address:
  • Phone: 406-239-4272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number259584
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: