Healthcare Provider Details

I. General information

NPI: 1750027009
Provider Name (Legal Business Name): MORGAN NELSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2022
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 N 84TH ST
OMAHA NE
68114-4101
US

IV. Provider business mailing address

111 N 84TH ST
OMAHA NE
68114-4101
US

V. Phone/Fax

Practice location:
  • Phone: 402-559-3235
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number37012
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License Number37012
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: