Healthcare Provider Details

I. General information

NPI: 1013608397
Provider Name (Legal Business Name): MORGAN COLLIER APRN-CNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2023
Last Update Date: 12/05/2023
Certification Date: 12/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 W BOWERY ST
AKRON OH
44308-1069
US

IV. Provider business mailing address

5343 ROYAL BROOK DR
MEDINA OH
44256-6210
US

V. Phone/Fax

Practice location:
  • Phone: 330-543-8792
  • Fax:
Mailing address:
  • Phone: 614-747-2677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN.503735
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0033901
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: