Individual
MARILYN KAY MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
3650 N ALPINE RD, ROCKFORD, IL 61114-4806
(815) 877-7408
Mailing address
1354 CLARK LAKE RD, BRIGHTON, MI 48114-8917
(810) 229-7846
(810) 229-7846
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
041322787
IL
363L00000X
Nurse Practitioner
2002026665
MO
363L00000X
Nurse Practitioner
4704145479
MI
363LG0600X
Gerontology Nurse Practitioner
Primary
041322787
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104750072
—
MI
05
—
427206909
—
MO
01
—
P00249347
RAILROAD MEDICARE
MO
01
—
P00250027
RAILROAD MEDICARE N IL
IL
01
—
P00256645
RAILROAD MEDICARE S IL
IL
Enumeration date
05/12/2006
Last updated
06/17/2019
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