Provider Demographics
NPI:1639237530
Name:MORGAN, NANCY J (MD)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:J
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:805 164TH ST SE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98012-6316
Mailing Address - Country:US
Mailing Address - Phone:425-743-5515
Mailing Address - Fax:425-743-5517
Practice Address - Street 1:805 164TH ST SE
Practice Address - Street 2:SUITE 100
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012-6316
Practice Address - Country:US
Practice Address - Phone:425-743-5515
Practice Address - Fax:425-743-5517
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
WAMD00018364207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAD61503Medicare UPIN