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NPI Code Detail

MEDICARE: MORGAN ELIZABETH MCNUTT

MEDICARE: MORGAN ELIZABETH MCNUTT
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
1101Y00000XCounselorCG61583077WA

General Provider Information

NPI Number : 1215549258
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN ELIZABETH MCNUTT
Provider Business Mailing Address
First Line : 145 S WORTHEN ST
Second Line :
City : WENATCHEE
State : WA
Zip : 98801-3081
Country : US
Telephone Number : 509-662-6761
Fax Number :
Provider Business Practice Location Address
First Line : 4170 N 108TH AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85037-5469
Country : US
Telephone Number : 480-751-1957
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2020
Last Update Date : 07/03/2024

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