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Contact Information

MARY M MORGAN, NP
1660 WOODSAGE AVE, BLDG A
MERRIDIAN, ID83642
 Phone: 208-906-1231
 Fax: 208-906-1232
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Family Health

364SF0001X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for MARY M MORGAN · (Female)

NPI Number 1437381209
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 08/12/2009
Last updated 10/28/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • ID License # 20407A
  • ID License # NP-937A
  • ID Medicaid 1437381209
  • ID Medicaid 808586900
Hospital affiliation(s)
  • ST LUKES REGIONAL MEDICAL CENTER - (Acute Care)
    190 EAST BANNOCK STREET
    BOISE, ID 83712
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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