Healthcare Provider Details

I. General information

NPI: 1801579750
Provider Name (Legal Business Name): MORGAN SEUBERT CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MORGAN VERKUILEN CPNP-PC

II. Dates (important events)

Enumeration Date: 08/08/2023
Last Update Date: 07/27/2025
Certification Date: 07/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1393 WEIMER RD
TAOS NM
87571-6201
US

IV. Provider business mailing address

1393 WEIMER RD
TAOS NM
87571-6201
US

V. Phone/Fax

Practice location:
  • Phone: 575-758-8651
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number75125
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: