Provider Demographics
NPI:1326721812
Name:MORGAN, IAN FITZGERALD (FNP-BC)
Entity Type:Individual
Prefix:MR
First Name:IAN
Middle Name:FITZGERALD
Last Name:MORGAN
Suffix:
Gender:M
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2904 E ELM ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-3549
Mailing Address - Country:US
Mailing Address - Phone:520-249-2595
Mailing Address - Fax:
Practice Address - Street 1:2904 E ELM ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-3549
Practice Address - Country:US
Practice Address - Phone:520-249-2595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-10
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ295165363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily