Provider Demographics
NPI:1033835046
Name:MORGAN, KAROLYN (FNP)
Entity Type:Individual
Prefix:
First Name:KAROLYN
Middle Name:
Last Name:MORGAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 N MACOMB ST STE 6
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48162-2968
Mailing Address - Country:US
Mailing Address - Phone:734-242-2255
Mailing Address - Fax:734-682-5963
Practice Address - Street 1:721 N MACOMB ST STE 6
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48162-2968
Practice Address - Country:US
Practice Address - Phone:734-242-2255
Practice Address - Fax:734-682-5963
Is Sole Proprietor?:No
Enumeration Date:2022-10-12
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIF12210549363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily