MEDICARE: MORGAN NARVICK RDN/LDN

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	133V00000X	Registered Dietitian	86117474	FL

General Provider Information

NPI Number	:	1144820424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN NARVICK RDN/LDN

Provider Business Mailing Address
First Line	:	11905 BLUE HILL TRL
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34211-3429
Country	:	US
Telephone Number	:	815-931-1799
Fax Number	:

Provider Business Practice Location Address
First Line	:	6151 LAKE OSPREY DR FL 3
Second Line	:
City	:	LAKEWOOD RANCH
State	:	FL
Zip	:	34240-8419
Country	:	US
Telephone Number	:	941-253-5174
Fax Number	:

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

Provider Enumeration Date	:	10/27/2020
Last Update Date	:	10/27/2020

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