Provider Demographics
NPI:1881919934
Name:NISH, MORGAN E (APRN-NP)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:E
Last Name:NISH
Suffix:
Gender:F
Credentials:APRN-NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30111 CANYON SIDE LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-2915
Mailing Address - Country:US
Mailing Address - Phone:402-871-6639
Mailing Address - Fax:
Practice Address - Street 1:30111 CANYON SIDE LN
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-2915
Practice Address - Country:US
Practice Address - Phone:402-871-6639
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-01
Last Update Date:2014-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE111124363L00000X
TX1698363L00000X
TX816504363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner