Doctor Name: | TRACEY ANN MORGAN |
NPI Number: | 1003242900 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 199773 |
Business Practice Address: | 1071 Blue Hill Ave Milton, MA - 02186 |
Business Phone Number: | 6173332182 |
Business Fax Number: | 6173332029 |
Mailing Address: | 65 Courtland Cirlce, MILTON |
State: | MA |
Postal Code: | 02186 |
Phone Number: | 6172981150 |
Fax Number: | |
NPI Enumeration Date: | 09/24/2013 |
NPI Last Update Date: | 09/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 199773 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |