Provider Demographics
NPI:1285084525
Name:GALBRAITH, MORGAN CHARLES (APRN)
Entity type:Individual
Prefix:MR
First Name:MORGAN
Middle Name:CHARLES
Last Name:GALBRAITH
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:813 E 200 S # 1
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84102-2304
Mailing Address - Country:US
Mailing Address - Phone:801-505-1209
Mailing Address - Fax:
Practice Address - Street 1:813 E 200 S # 1
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84102-2304
Practice Address - Country:US
Practice Address - Phone:801-505-1209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-17
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7587493-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily