Provider Demographics
NPI:1679027361
Name:FLAHERTY, MORGAN (ARNP)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:FLAHERTY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 5TH ST N
Mailing Address - Street 2:
Mailing Address - City:DAKOTA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50529-5051
Mailing Address - Country:US
Mailing Address - Phone:712-358-3054
Mailing Address - Fax:
Practice Address - Street 1:30 N 27TH ST
Practice Address - Street 2:
Practice Address - City:FORT DODGE
Practice Address - State:IA
Practice Address - Zip Code:50501-4331
Practice Address - Country:US
Practice Address - Phone:152-275-9975
Practice Address - Fax:515-227-5999
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-10
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA119686163W00000X
IAA119686363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily