MORGAN FAMILY MEDICINE NPI 1285293118

NPI Information

MORGAN FAMILY MEDICINE is a family nurse practitioner in Meridian, ID. MORGAN FAMILY MEDICINE NPI is 1285293118. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1660 S WOODSAGE AVENUE
MERIDIAN, ID
ZIP 83642
Phone: (208) 906-1231
Fax: (208) 906-1232

The provider's authorized official is Mary M. Morgan .
The authorized official title is Owner/provider and has the following contact phone number (208) 906-1231.

The CLIA number assigned to this NPI record is 13D2171191 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/13/2019 and was last updated on 10/23/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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