Healthcare Provider Details

I. General information

NPI: 1174475123
Provider Name (Legal Business Name): MORGAN BRIEANN NEWCOMER BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2026
Last Update Date: 02/12/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2421 W 21ST ST STE A
CLOVIS NM
88101-2006
US

IV. Provider business mailing address

108 ABBEY RD
CLOVIS NM
88101-8046
US

V. Phone/Fax

Practice location:
  • Phone: 575-769-7577
  • Fax:
Mailing address:
  • Phone: 575-769-7447
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: