Provider Demographics
NPI:1003790338
Name:DE LA TORRE, MORGAN ALICE (BSN)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:ALICE
Last Name:DE LA TORRE
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 I ST NE
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:WA
Mailing Address - Zip Code:98848-9312
Mailing Address - Country:US
Mailing Address - Phone:509-906-6612
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 37
Practice Address - Street 2:
Practice Address - City:EPHRATA
Practice Address - State:WA
Practice Address - Zip Code:98823-0037
Practice Address - Country:US
Practice Address - Phone:509-754-6064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN61318067163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse