Provider Demographics
NPI:1659520807
Name:MORGAN, TREASURE ASHLEIGH (APRN)
Entity Type:Individual
Prefix:MS
First Name:TREASURE
Middle Name:ASHLEIGH
Last Name:MORGAN
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 1:1616 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:SLC
Mailing Address - State:UT
Mailing Address - Zip Code:84106-3320
Mailing Address - Country:US
Mailing Address - Phone:801-518-6808
Mailing Address - Fax:
Practice Address - Street 1:1010 E 2100 S
Practice Address - Street 2:SUITE B
Practice Address - City:SLC
Practice Address - State:UT
Practice Address - Zip Code:84106-3590
Practice Address - Country:US
Practice Address - Phone:801-495-2737
Practice Address - Fax:801-456-1452
Is Sole Proprietor?:No
Enumeration Date:2008-09-11
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT49674714405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily