Healthcare Provider Details

I. General information

NPI: 1912827882
Provider Name (Legal Business Name): ANNE-LOUISE IRENE MORGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1207 EISENHOWER ST
RAY ND
58849-3006
US

IV. Provider business mailing address

1207 EISENHOWER ST
RAY ND
58849-3006
US

V. Phone/Fax

Practice location:
  • Phone: 701-421-4007
  • Fax:
Mailing address:
  • Phone: 701-421-4007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: