Healthcare Provider Details

I. General information

NPI: 1881834471
Provider Name (Legal Business Name): SHARLOTTE K MORGAN CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2009
Last Update Date: 01/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3308 PRESTON RD STE 350-283
PLANO TX
75093-7453
US

IV. Provider business mailing address

3308 PRESTON RD STE 350-283
PLANO TX
75093-7453
US

V. Phone/Fax

Practice location:
  • Phone: 214-471-5975
  • Fax: 866-476-1204
Mailing address:
  • Phone: 214-471-5975
  • Fax: 866-476-1204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number766617
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: