Healthcare Provider Details

I. General information

NPI: 1235770025
Provider Name (Legal Business Name): MORGAN MENDES MONSANTO ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MORGAN MONSANTO ND

II. Dates (important events)

Enumeration Date: 10/02/2019
Last Update Date: 03/04/2024
Certification Date: 11/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5302 YACHT HAVEN GRANDE STE S102
ST THOMAS VI
00802-5004
US

IV. Provider business mailing address

5302 YACHT HAVEN GRANDE STE S102
ST THOMAS VI
00802-5004
US

V. Phone/Fax

Practice location:
  • Phone: 340-227-1299
  • Fax:
Mailing address:
  • Phone: 760-651-6121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number22-1722
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND1109
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: