Provider Demographics
NPI:1578154944
Name:WALDEN, MORGAN HALEY (DNP, APRN, FP-BC)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:HALEY
Last Name:WALDEN
Suffix:
Gender:F
Credentials:DNP, APRN, FP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10755 EAGLE WAY
Mailing Address - Street 2:
Mailing Address - City:HOPKINSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42240-8742
Mailing Address - Country:US
Mailing Address - Phone:270-887-0270
Mailing Address - Fax:
Practice Address - Street 1:10755 EAGLE WAY
Practice Address - Street 2:
Practice Address - City:HOPKINSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42240-8742
Practice Address - Country:US
Practice Address - Phone:270-887-0270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-28
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3108536363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily