Provider Demographics
NPI:1013366061
Name:CANGELOSI, MORGAN MARIE (FNP-C)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:MARIE
Last Name:CANGELOSI
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 1:19 TRADEWINDS DR
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77554-9357
Mailing Address - Country:US
Mailing Address - Phone:734-395-4558
Mailing Address - Fax:
Practice Address - Street 1:19 TRADEWINDS DR
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77554-9357
Practice Address - Country:US
Practice Address - Phone:409-497-4611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-10
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130941363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily