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NPI Code Detail

MEDICARE: ANGELA J MORRIS CNM, APRN

MEDICARE: ANGELA J MORRIS CNM, APRN
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
1363LF0000XFamily Nurse Practitioner150180CO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P01631177OTHERCORAILROAD WORKERS MEDICARE FOR MOUNTAIN PEAKS URGENT CARE
2321251YYS0OTHERCOMEDICARE B PTAN FOR MOUNTAIN PEAKS URGENT CARE

General Provider Information

NPI Number : 1750362547
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA J MORRIS CNM, APRN
Provider Business Mailing Address
First Line : 569 32 ROAD, UNIT 12
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81504-6095
Country : US
Telephone Number : 970-523-3544
Fax Number : 970-434-3422
Provider Business Practice Location Address
First Line : 569 32 ROAD, UNIT 12
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81504-6095
Country : US
Telephone Number : 970-523-3544
Fax Number : 970-434-3422
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2005
Last Update Date : 05/09/2016

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