Individual
STEPHANIE MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 S EAGLE RD STE 3209, MERIDIAN, ID 83642-6356
(208) 706-3220
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
313608-3102
UT
367A00000X
Advanced Practice Midwife
Primary
68458
ID
Other
Enumeration date
06/02/2020
Last updated
08/03/2023
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