Healthcare Provider Details

I. General information

NPI: 1841768207
Provider Name (Legal Business Name): MORGAN ELIZABETH MINGO CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/05/2018
Last Update Date: 04/18/2022
Certification Date: 04/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 23RD ST
CUYAHOGA FALLS OH
44223-1404
US

IV. Provider business mailing address

1900 23RD ST
CUYAHOGA FALLS OH
44223-1404
US

V. Phone/Fax

Practice location:
  • Phone: 330-971-7246
  • Fax: 330-971-7256
Mailing address:
  • Phone: 330-971-7246
  • Fax: 330-971-7256

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAG08180086
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN.CNP.023527
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: