Provider Demographics
NPI:1790329811
Name:MORGAN, NGA DENISE (APRN)
Entity Type:Individual
Prefix:
First Name:NGA DENISE
Middle Name:
Last Name:MORGAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:ANN
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:505 MARGARET CT APT 2
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-3854
Mailing Address - Country:US
Mailing Address - Phone:407-758-1416
Mailing Address - Fax:
Practice Address - Street 1:2100 N. ORANGE AVE
Practice Address - Street 2:SUITE A
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804
Practice Address - Country:US
Practice Address - Phone:407-454-1363
Practice Address - Fax:863-229-2576
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-31
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9395456163W00000X
FLAPRN11012222363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse