Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LP0200X | Nurse Practitioner - Pediatrics | A003963 | AR |
N | 363LP0200X | Nurse Practitioner - Pediatrics | AP136847 | TX |
Y | 363LP0200X | Nurse Practitioner - Pediatrics | AP136947 | TX |
NPI | 1033539382 |
---|---|
Provider Name | Cydne Morgan |
First Address | Fort Worth, TX 76244-5212 |
Second Address | San Antonio, TX 78238-1203 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2014 |
Last Update Date | 08/09/2021 |