Provider Demographics
NPI:1275334484
Name:MORGAN, ERICA (RDN)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:MORGAN
Suffix:
Gender:
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:UNION GROVE
Mailing Address - State:WI
Mailing Address - Zip Code:53182-1129
Mailing Address - Country:US
Mailing Address - Phone:262-930-9432
Mailing Address - Fax:
Practice Address - Street 1:909 CHURCH ST
Practice Address - Street 2:
Practice Address - City:UNION GROVE
Practice Address - State:WI
Practice Address - Zip Code:53182-1129
Practice Address - Country:US
Practice Address - Phone:262-930-9432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered