Basic Information
Provider Information
NPI: 1588665061
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MORGAN
FirstName: JOYCE
MiddleName:  
NamePrefix: MISS
NameSuffix:  
Credential: CRNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2702 N 3RD ST
Address2: STE. 4020
City: PHOENIX
State: AZ
PostalCode: 850041130
CountryCode: US
TelephoneNumber: 6023233345
FaxNumber: 6023233399
Practice Location
Address1: 6601 W THOMAS RD
Address2:  
City: PHOENIX
State: AZ
PostalCode: 850335700
CountryCode: US
TelephoneNumber: 6022437277
FaxNumber: 6232479742
Other Information
ProviderEnumerationDate: 08/09/2005
LastUpdateDate: 05/14/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LW0102XTP-000357-GPAN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
363LW0102XAP4264AZY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health

No ID Information.


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