Individual
SUSAN ANNE MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, FNP
Contact information
Practice address
1775 THOMPSON RD., COOS BAY, OR 97420-2125
(541) 269-8538
(541) 267-5083
Mailing address
1775 THOMPSON RD., COOS BAY, OR 97420-2125
(541) 269-8538
(541) 267-5083
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200250115NP
OR
367A00000X
Advanced Practice Midwife
077010025N5
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03-15-2007
NBMC TERMINATION DATE
OR
05
—
076815
—
OR
01
—
1407812365
NBMC NPI NUMBER-GROUP
OR
01
—
93-0635514
GROUP TAX ID FOR BILLING
OR
Enumeration date
12/09/2005
Last updated
02/22/2012
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