Provider Demographics
NPI:1104644509
Name:GARELLO, MORGAN DREW (CPNP)
Entity type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:DREW
Last Name:GARELLO
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:MS
Other - First Name:MORGAN
Other - Middle Name:DREW
Other - Last Name:CREEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPNP
Mailing Address - Street 1:791 CLIFTON WAY
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95688-8550
Mailing Address - Country:US
Mailing Address - Phone:707-317-3160
Mailing Address - Fax:
Practice Address - Street 1:9727 ELK GROVE FLORIN RD STE 250
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624-2290
Practice Address - Country:US
Practice Address - Phone:916-686-5003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-03
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95032449363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics