Healthcare Provider Details

I. General information

NPI: 1003290529
Provider Name (Legal Business Name): MORGAN MCCREA ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2015
Last Update Date: 10/20/2023
Certification Date: 10/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N 36TH ST STE 216
SEATTLE WA
98103-8697
US

IV. Provider business mailing address

600 N 36TH ST STE 216
SEATTLE WA
98103-8697
US

V. Phone/Fax

Practice location:
  • Phone: 206-485-1779
  • Fax: 206-785-9320
Mailing address:
  • Phone: 330-407-0089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP60580654
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: