Healthcare Provider Details

I. General information

NPI: 1154677425
Provider Name (Legal Business Name): CYDNEY MORGAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2012
Last Update Date: 07/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 REGENCY PARKWAY DR 200
OMAHA NE
68114-3792
US

IV. Provider business mailing address

444 REGENCY PARKWAY DR STE 200
OMAHA NE
68114-3779
US

V. Phone/Fax

Practice location:
  • Phone: 402-397-0990
  • Fax: 402-397-5290
Mailing address:
  • Phone: 402-670-2251
  • Fax: 402-397-5290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number36383
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: