Provider Demographics
NPI:1043044019
Name:KAMMAN, MORGAN JEANNE (ARNP)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:JEANNE
Last Name:KAMMAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:JEANNE
Other - Last Name:RICKETTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1900 NW MYHRE RD
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-7662
Mailing Address - Country:US
Mailing Address - Phone:564-240-3100
Mailing Address - Fax:564-240-3199
Practice Address - Street 1:1900 NW MYHRE RD
Practice Address - Street 2:
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-7662
Practice Address - Country:US
Practice Address - Phone:564-240-3100
Practice Address - Fax:564-240-3199
Is Sole Proprietor?:No
Enumeration Date:2024-08-30
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61598350363LF0000X
WAAP1598350363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily