Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LG0600X | Nurse Practitioner - Gerontology | NP13537 | CA |
NPI | 1083618599 |
---|---|
Provider Name | Mrs. Barbara Ann Morgan |
First Address | Sacramento, CA 95811-3120 |
Second Address | Sacramento, CA 95811-3120 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2005 |
Last Update Date | 08/06/2009 |