Provider Demographics
NPI:1740633494
Name:MORGAN, CRYSTAL COLLEEN (NP-C)
Entity type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:COLLEEN
Last Name:MORGAN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:955 BETHESDA DR
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-1873
Mailing Address - Country:US
Mailing Address - Phone:740-454-0804
Mailing Address - Fax:
Practice Address - Street 1:955 BETHESDA DR
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-1873
Practice Address - Country:US
Practice Address - Phone:740-454-0804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-18
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.349557163W00000X
OHAPRN.CNP.019398363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse