Individual
MORGAN GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3000
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8623
(414) 805-8641
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
222999-30
WI
363L00000X
Nurse Practitioner
Primary
9931-33
WI
363LF0000X
Family Nurse Practitioner
9931-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558995522
—
WI
Enumeration date
02/27/2020
Last updated
10/20/2020
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