Healthcare Provider Details

I. General information

NPI: 1093096448
Provider Name (Legal Business Name): CHRISTINE E. MORGAN F.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2011
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2321 STOUT RD
MENOMONIE WI
54751-7003
US

IV. Provider business mailing address

PO BOX 860912 PROVIDER ENROLLMENT - RST
MINNEAPOLIS MN
55486-0912
US

V. Phone/Fax

Practice location:
  • Phone: 715-233-7777
  • Fax:
Mailing address:
  • Phone: 507-284-2511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number159179
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4765
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: