Healthcare Provider Details

I. General information

NPI: 1346855434
Provider Name (Legal Business Name): MORGYN MILLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2020
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

712 5TH AVE
WASHBURN ND
58577-4352
US

IV. Provider business mailing address

PO BOX 70
WASHBURN ND
58577-0070
US

V. Phone/Fax

Practice location:
  • Phone: 701-462-3581
  • Fax: 701-462-3590
Mailing address:
  • Phone: 701-462-3581
  • Fax: 701-462-3590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: