Provider Demographics
NPI:1720976517
Name:PHILLIPS, MORGAN ROSE (CERTIFIED DOULA)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:ROSE
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:CERTIFIED DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16505 GLEKO RD
Mailing Address - Street 2:
Mailing Address - City:ROUGH AND READY
Mailing Address - State:CA
Mailing Address - Zip Code:95975-9601
Mailing Address - Country:US
Mailing Address - Phone:530-802-1516
Mailing Address - Fax:
Practice Address - Street 1:16505 GLEKO RD
Practice Address - Street 2:
Practice Address - City:ROUGH AND READY
Practice Address - State:CA
Practice Address - Zip Code:95975-9601
Practice Address - Country:US
Practice Address - Phone:530-802-1516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula