Provider Demographics
NPI:1326146796
Name:MORGAN, NANCI J (MS PAC)
Entity Type:Individual
Prefix:MS
First Name:NANCI
Middle Name:J
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MS PAC
Other - Prefix:MRS
Other - First Name:NANCI
Other - Middle Name:J
Other - Last Name:BAIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PAC
Mailing Address - Street 1:1 HOSPITAL PLZ
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:WV
Mailing Address - Zip Code:26354-1283
Mailing Address - Country:US
Mailing Address - Phone:304-265-7406
Mailing Address - Fax:304-265-6443
Practice Address - Street 1:1 HOSPITAL PLZ
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:WV
Practice Address - Zip Code:26354-1283
Practice Address - Country:US
Practice Address - Phone:304-265-7406
Practice Address - Fax:304-265-6443
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV311363A00000X
WV945363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV001722620OtherBCBS
P42049Medicare UPIN