MEDICARE: COURTNEY MORGOTT FNP

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	363LF0000X	Family Nurse Practitioner	4704330606	MI

General Provider Information

NPI Number	:	1538870597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY MORGOTT FNP

Provider Business Mailing Address
First Line	:	901 MCCLINTOCK DR STE 202
Second Line	:
City	:	BURR RIDGE
State	:	IL
Zip	:	60527-0872
Country	:	US
Telephone Number	:	630-655-6748
Fax Number	:

Provider Business Practice Location Address
First Line	:	18285 E 10 MILE RD STE 150
Second Line	:
City	:	ROSEVILLE
State	:	MI
Zip	:	48066-5808
Country	:	US
Telephone Number	:	877-448-3627
Fax Number	:

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

Provider Enumeration Date	:	12/12/2022
Last Update Date	:	08/14/2025

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Directions to “ COURTNEY MORGOTT FNP” Practice Location

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