Doctor Name: | ROXANNE MARKOV MORGAN |
NPI Number: | 1225236698 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, CPNP |
License Number: | 5437 |
Business Practice Address: | 154 Traffic Way Arroyo Grande, CA - 934203341 |
Business Phone Number: | 8054733262 |
Business Fax Number: | 8054733707 |
Mailing Address: | 154 Traffic Way, ARROYO GRANDE |
State: | CA |
Postal Code: | 934203341 |
Phone Number: | 8054733262 |
Fax Number: | 8054733707 |
NPI Enumeration Date: | 07/06/2007 |
NPI Last Update Date: | 07/30/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 5437 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |