Individual
CHRISTINE MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 384-4700
Mailing address
3305 WILLOW POND DR, RIVERHEAD, NY 11901-7227
(631) 384-4470
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
8439387
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
134908
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/24/2020
Last updated
12/10/2021
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