Provider Demographics
NPI:1477021699
Name:MORGAN, SHAREE C (APN)
Entity Type:Individual
Prefix:MRS
First Name:SHAREE
Middle Name:C
Last Name:MORGAN
Suffix:
Gender:F
Credentials:APN
Other - Prefix:MISS
Other - First Name:SHAREE
Other - Middle Name:C
Other - Last Name:MARRIOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2000 CRAWFORD PL STE 200
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-3954
Mailing Address - Country:US
Mailing Address - Phone:856-355-0340
Mailing Address - Fax:856-355-0330
Practice Address - Street 1:158 ROUTE 73 STE B
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-9539
Practice Address - Country:US
Practice Address - Phone:856-247-7230
Practice Address - Fax:856-247-7231
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-06
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00884600363LF0000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program