Provider Demographics
NPI:1265020630
Name:WHEATON, MORGAN ALEXIS (RN)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:ALEXIS
Last Name:WHEATON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8851 SW 80TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-4175
Mailing Address - Country:US
Mailing Address - Phone:305-538-6321
Mailing Address - Fax:
Practice Address - Street 1:8851 SW 80TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-4175
Practice Address - Country:US
Practice Address - Phone:305-538-6321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-01
Last Update Date:2021-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9549462163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse