MEDICARE: NATHAN MATTHEW MORRIS

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	367A00000X	Advanced Practice Midwife

General Provider Information

NPI Number	:	1699399907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATHAN MATTHEW MORRIS

Provider Business Mailing Address
First Line	:	2950 N CHURCH ST STE 301
Second Line	:
City	:	LAYTON
State	:	UT
Zip	:	84040-6590
Country	:	US
Telephone Number	:	801-771-7771
Fax Number	:	833-643-2775

Provider Business Practice Location Address
First Line	:	96 E KIMBALLS LN STE 202
Second Line	:
City	:	DRAPER
State	:	UT
Zip	:	84020-5021
Country	:	US
Telephone Number	:	801-523-3053
Fax Number	:	801-523-3059

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

Provider Enumeration Date	:	06/02/2020
Last Update Date	:	06/14/2022

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Directions to “ NATHAN MATTHEW MORRIS ” Practice Location

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