MEDICARE: MORGAN CHRISTEN NIXON

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	390200000X	Student in an Organized Health Care Education/Training Program	T083730371	OK

General Provider Information

NPI Number	:	1386008902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN CHRISTEN NIXON

Provider Business Mailing Address
First Line	:	913 CITY AVE APT 177
Second Line	:
City	:	MOORE
State	:	OK
Zip	:	73160-3864
Country	:	US
Telephone Number	:	405-388-5217
Fax Number	:

Provider Business Practice Location Address
First Line	:	913 CITY AVE APT 177
Second Line	:
City	:	MOORE
State	:	OK
Zip	:	73160-3864
Country	:	US
Telephone Number	:	405-388-5217
Fax Number	:

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

Provider Enumeration Date	:	04/09/2016
Last Update Date	:	04/09/2016

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Directions to “ MORGAN CHRISTEN NIXON ” Practice Location

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