Provider Demographics
NPI:1003486630
Name:REISER, MORGAN LOUISE
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:LOUISE
Last Name:REISER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:579 18TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:TURTLE LAKE
Mailing Address - State:ND
Mailing Address - Zip Code:58575-9669
Mailing Address - Country:US
Mailing Address - Phone:701-460-7865
Mailing Address - Fax:
Practice Address - Street 1:851 2ND ST SW
Practice Address - Street 2:
Practice Address - City:MERCER
Practice Address - State:ND
Practice Address - Zip Code:58559-9346
Practice Address - Country:US
Practice Address - Phone:605-216-7346
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-27
Last Update Date:2021-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant