Individual
SUSAN DESTINY MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
692442
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
16997
CA
Other
Enumeration date
12/18/2006
Last updated
04/11/2023
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