Healthcare Provider Details

I. General information

NPI: 1659520807
Provider Name (Legal Business Name): TREASURE ASHLEIGH MORGAN A.P.R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2008
Last Update Date: 09/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 E 2100 S SUITE B
SLC UT
84106-3590
US

IV. Provider business mailing address

1616 MAPLE AVE
SLC UT
84106-3320
US

V. Phone/Fax

Practice location:
  • Phone: 801-495-2737
  • Fax: 801-456-1452
Mailing address:
  • Phone: 801-518-6808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number49674714405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: