Individual
MRS. EDIE JAY MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP-BC, CNM, MS
Contact information
Practice address
3105 CLEARWATER DR, STE A, PRESCOTT, AZ 86305-7166
(928) 237-4422
(928) 237-4421
Mailing address
1042 WILLOW CREEK RD, A101 #222, PRESCOTT, AZ 86301-1673
(928) 237-4422
(928) 237-4421
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
APO-197
AZ
367A00000X
Advanced Practice Midwife
Primary
RN056003
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
831041
—
AZ
01
—
AZ0146110
BLUE CROSS/BLUE SHIELD
AZ
Enumeration date
08/16/2005
Last updated
07/30/2015
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