Provider Demographics
NPI:1700488251
Name:MORGAN, ANN (RRT)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:MORGAN
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1616 E PLAZA LOOP
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83687-4931
Mailing Address - Country:US
Mailing Address - Phone:208-287-1733
Mailing Address - Fax:208-287-1734
Practice Address - Street 1:1616 E PLAZA LOOP
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83687-4931
Practice Address - Country:US
Practice Address - Phone:208-287-1733
Practice Address - Fax:208-287-1734
Is Sole Proprietor?:No
Enumeration Date:2020-11-10
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLRT-2185227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered