Provider Demographics
NPI:1043819972
Name:MORGAN, NATASHA LAVINYA
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:LAVINYA
Last Name:MORGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NATASHA
Other - Middle Name:LAVINYA
Other - Last Name:BLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:915 FIRST TEE DR
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27263-2388
Mailing Address - Country:US
Mailing Address - Phone:336-307-6903
Mailing Address - Fax:
Practice Address - Street 1:915 FIRST TEE DR
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27263-2388
Practice Address - Country:US
Practice Address - Phone:336-307-6903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care