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NPI Code Detail

MEDICARE: NICOLE MARIE MORGAN FNP-C

MEDICARE: NICOLE MARIE MORGAN FNP-C
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
1163W00000XRegistered NurseRN141587AZ
2363LF0000XFamily Nurse PractitionerAP10906AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568912418
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE MARIE MORGAN FNP-C
Provider Business Mailing Address
First Line : PO BOX 35380
Second Line :
City : LAS VEGAS
State : NV
Zip : 89133-5380
Country : US
Telephone Number : 702-579-3253
Fax Number :
Provider Business Practice Location Address
First Line : 4780 E GRANT RD
Second Line :
City : TUCSON
State : AZ
Zip : 85712-2703
Country : US
Telephone Number : 520-290-0300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2016
Last Update Date : 09/07/2023

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Directions to “ NICOLE MARIE MORGAN FNP-C” Practice Location

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