MEDICARE: BETH L MORGAN N.P.

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	363LA2200X	Adult Health Nurse Practitioner	306053	NY
2	363L00000X	Nurse Practitioner	306053	NY

General Provider Information

NPI Number	:	1740541598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETH L MORGAN N.P.

Provider Business Mailing Address
First Line	:	PO BOX 14890
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12212-4890
Country	:	US
Telephone Number	:	518-525-5635
Fax Number	:	518-649-4094

Provider Business Practice Location Address
First Line	:	317 S MANNING BLVD STE 220
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12208-1739
Country	:	US
Telephone Number	:	518-525-6418
Fax Number	:

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

Provider Enumeration Date	:	06/07/2012
Last Update Date	:	05/14/2021

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Directions to “ BETH L MORGAN N.P.” Practice Location

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