Provider Demographics
NPI:1922004290
Name:MORGAN, DANIELLE (APRN)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:
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 1:846 STATE ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-3924
Mailing Address - Country:US
Mailing Address - Phone:203-772-1077
Mailing Address - Fax:203-772-1077
Practice Address - Street 1:846 STATE ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-3924
Practice Address - Country:US
Practice Address - Phone:203-772-1077
Practice Address - Fax:203-772-1077
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-22
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002343363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT400002343CT01OtherANTHEM BCBS ID NUMBER
CTIP570634OtherCT CARE ID NUMBER
CTP2634779OtherOXFORD ID NUMBER
CT228013OtherUBH ID NUMBER
CT385486OtherMAGELLAN ID NUMBER
CT2083858OtherCIGNA ID NUMBER