Provider Demographics
NPI:1003562281
Name:SOLARI, MORGAN LOUISE (FNP-C)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:LOUISE
Last Name:SOLARI
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4553 BLACKTAIL DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46239-1697
Mailing Address - Country:US
Mailing Address - Phone:601-900-3957
Mailing Address - Fax:
Practice Address - Street 1:7430 N SHADELAND AVE STE 230
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-2036
Practice Address - Country:US
Practice Address - Phone:317-939-6100
Practice Address - Fax:317-680-8222
Is Sole Proprietor?:No
Enumeration Date:2022-02-25
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71012271A363LF0000X, 363LF0000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty