Provider Demographics
NPI:1033994066
Name:MESSENGER, MORGAN ROSE (APRN)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:ROSE
Last Name:MESSENGER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 INDIAN DAM RD
Mailing Address - Street 2:
Mailing Address - City:LAHOMA
Mailing Address - State:OK
Mailing Address - Zip Code:73754-9665
Mailing Address - Country:US
Mailing Address - Phone:580-478-7549
Mailing Address - Fax:
Practice Address - Street 1:220 S VAN BUREN ST
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73703-5812
Practice Address - Country:US
Practice Address - Phone:580-234-9355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK214987363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily