Provider Demographics
NPI:1598368441
Name:DURAN, MORGAN (CPNP-PC)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:DURAN
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7009 VIA DEL CERRO NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87113-1042
Mailing Address - Country:US
Mailing Address - Phone:505-999-0233
Mailing Address - Fax:
Practice Address - Street 1:7009 VIA DEL CERRO NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87113-1042
Practice Address - Country:US
Practice Address - Phone:505-999-0233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM62138363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics