MEDICARE: DANELE NICHOLE MORGAN LPN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	PN265495	PA

General Provider Information

NPI Number	:	1114223906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANELE NICHOLE MORGAN LPN

Provider Business Mailing Address
First Line	:	25 ROTHERMEL DR
Second Line	:
City	:	YEAGERTOWN
State	:	PA
Zip	:	17099-9707
Country	:	US
Telephone Number	:	717-248-8197
Fax Number	:	717-248-6449

Provider Business Practice Location Address
First Line	:	25 ROTHERMEL DR
Second Line	:
City	:	YEAGERTOWN
State	:	PA
Zip	:	17099-9707
Country	:	US
Telephone Number	:	717-248-8197
Fax Number	:	717-248-6449

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2011
Last Update Date	:	01/27/2011

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