Individual
TRENT MATTHEW MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
301 CEDAR ST, OROFINO, ID 83544-9029
(208) 476-5777
(208) 476-5385
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 476-5777
(208) 476-5385
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
RNA380
ID
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA380A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740306828
—
ID
01
—
430075025
RAIL ROAD MEDICARE
ID
01
—
430075025
RAILROAD MEDICARE
WA
Enumeration date
03/21/2007
Last updated
12/30/2020
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