Healthcare Provider Details

I. General information

NPI: 1669469334
Provider Name (Legal Business Name): DAVID MORGAN APN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2005
Last Update Date: 10/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 MILL ST
RENO NV
89502-1576
US

IV. Provider business mailing address

1155 MILL ST
RENO NV
89502-1576
US

V. Phone/Fax

Practice location:
  • Phone: 775-982-4330
  • Fax: 702-369-5827
Mailing address:
  • Phone: 775-786-0439
  • Fax: 775-786-0670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAPN000874
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: