Healthcare Provider Details

I. General information

NPI: 1013872563
Provider Name (Legal Business Name): MORGAN VALLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8321 W SAHARA AVE APT 2022
LAS VEGAS NV
89117-1884
US

IV. Provider business mailing address

8321 W SAHARA AVE APT 2022
LAS VEGAS NV
89117-1884
US

V. Phone/Fax

Practice location:
  • Phone: 402-840-9584
  • Fax:
Mailing address:
  • Phone: 402-840-9584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number864343
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: