Individual
GARRETT MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3330 NW 56TH ST STE 208, OKLAHOMA CITY, OK 73112-4426
(405) 641-9954
Mailing address
3330 NW 56TH ST STE 208, OKLAHOMA CITY, OK 73112-4426
(405) 641-9954
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0086888
OK
363LF0000X
Family Nurse Practitioner
Primary
0086888
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200850540A
—
OK
Enumeration date
11/13/2018
Last updated
09/26/2019
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