Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 5880189-4405 | UT |
NPI | 1003151853 |
---|---|
Provider Name | Sharla Morgan |
First Address | Provo, UT 84604-3306 |
Second Address | Provo, UT 84604-3344 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2012 |
Last Update Date | 05/09/2017 |