Healthcare Provider Details

I. General information

NPI: 1962088732
Provider Name (Legal Business Name): CODY MORGAN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2021
Last Update Date: 08/12/2024
Certification Date: 08/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2830 S REDWOOD RD
WEST VALLEY UT
84119-5625
US

IV. Provider business mailing address

1916 N 700 W STE 110
LAYTON UT
84041-5754
US

V. Phone/Fax

Practice location:
  • Phone: 801-390-0503
  • Fax:
Mailing address:
  • Phone: 385-427-1570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number353760-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: