Healthcare Provider Details

I. General information

NPI: 1578203592
Provider Name (Legal Business Name): MORGAN SAAD APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2022
Last Update Date: 06/28/2023
Certification Date: 06/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 PHEASANT WAY
PARK CITY UT
84098-5417
US

IV. Provider business mailing address

1611 PHEASANT WAY
PARK CITY UT
84098-5417
US

V. Phone/Fax

Practice location:
  • Phone: 425-829-9782
  • Fax:
Mailing address:
  • Phone: 425-829-9782
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number102903944405
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: