Provider Demographics
NPI:1396396735
Name:POWELL, MORGAN PEARL
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:PEARL
Last Name:POWELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1560 CHESTER SQ
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-1912
Mailing Address - Country:US
Mailing Address - Phone:775-232-6573
Mailing Address - Fax:
Practice Address - Street 1:1560 CHESTER SQ
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-1912
Practice Address - Country:US
Practice Address - Phone:775-232-6573
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-26
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula