Provider Demographics
NPI:1376241422
Name:WILLIAMS, MORGAN DIANNE (APRN)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:DIANNE
Last Name:WILLIAMS
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 1:825 N HILLSIDE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-4939
Mailing Address - Country:US
Mailing Address - Phone:316-733-9393
Mailing Address - Fax:
Practice Address - Street 1:825 N HILLSIDE ST STE 200
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-4939
Practice Address - Country:US
Practice Address - Phone:316-733-9393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-17
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS81940363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner