MEDICARE: CAMILLE MORGAN RN, BSN

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	336796	NY
2	163WP0809X	Adult Psychiatric/Mental Health Registered Nurse	3551858	FL

General Provider Information

NPI Number	:	1134741226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMILLE MORGAN RN, BSN

Provider Business Mailing Address
First Line	:	3543 AVENUE MONTRESOR
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-2203
Country	:	US
Telephone Number	:	347-804-2226
Fax Number	:

Provider Business Practice Location Address
First Line	:	3543 AVENUE MONTRESOR
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-2203
Country	:	US
Telephone Number	:	347-804-2226
Fax Number	:

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

Provider Enumeration Date	:	05/12/2020
Last Update Date	:	05/31/2024

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