Provider Demographics
NPI:1104629260
Name:MORGAN, NORIEKA
Entity type:Individual
Prefix:
First Name:NORIEKA
Middle Name:
Last Name:MORGAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 HIGHTOWER AVE S
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33973-1606
Mailing Address - Country:US
Mailing Address - Phone:484-937-5819
Mailing Address - Fax:
Practice Address - Street 1:115 HIGHTOWER AVE S
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33973-1606
Practice Address - Country:US
Practice Address - Phone:484-937-5819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL447585376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide