Healthcare Provider Details

I. General information

NPI: 1972313989
Provider Name (Legal Business Name): MORGAN QUATMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2025
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3760 PAXTON AVE
CINCINNATI OH
45209-2306
US

IV. Provider business mailing address

101 E 4TH ST UNIT 141
NEWPORT KY
41071-2177
US

V. Phone/Fax

Practice location:
  • Phone: 513-488-8077
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0038145
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: