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Individual
SUSAN ANNE MORGAN
Active
Individual
SUSAN ANNE MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200250115NP
OR
367A00000X
Advanced Practice Midwife
077010025N5
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03-15-2007
NBMC TERMINATION DATE
OR
05
—
076815
—
OR
01
—
1407812365
NBMC NPI NUMBER-GROUP
OR
01
—
93-0635514
GROUP TAX ID FOR BILLING
OR
Enumeration date
12/09/2005
Last updated
02/22/2012
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